Detail by Officer/Registered Agent Name
Foreign Profit Corporation
ISMIE MUTUAL INSURANCE COMPANY
Filing Information
F17000005434
36-2883612
12/01/2017
IL
ACTIVE
Principal Address
20 N MICHIGAN AVE, STE 700
CHICAGO, IL 60602
CHICAGO, IL 60602
Mailing Address
20 N MICHIGAN AVE, STE 700
CHICAGO, IL 60602
CHICAGO, IL 60602
Registered Agent Name & Address
C T CORPORATION SYSTEM
1200 SOUTH PINE ISLAND ROAD
PLANTATION, FL 33324
PLANTATION, FL 33324
Officer/Director Detail
Name & Address
Title Chariman
DEHAAN, PAUL H, M.D.
Title Director
EUPIERRE, PETER E, M.D.
Title D
BACKS, CRAIG A
Title D
BRUSCA, PETER A, M.D.
Title D
COOPER, SCOTT A, M.D.
Title D
DEGUIDE, JOHN J, M.D.
Title Secretary
GELINE, RICHARD A, M.D.
Title D
HOLT, WILLIAM J, M.D.
Title D
KANELLAKES, THEODORE M, M.D.
Title D
KISABETH, TIM C, M.D
Title D
KOBLER, WILLIAM E, M.D.
Title D
MILAM, JAMES L, M.D.
Title D
OLIVER, ROBERT J, M.D.
Title D
OLSON, SANDRA J, M.D.
Title D
POLEK, WAYNE V, M.D.
Title D
SUNDRAM, PONNAMBALAM, M.D.
Title D
TAN, MERITA R.C., M.D.
Title D
WOLFE, CHERYL D, M.D.
Title Director
Anderson, Richard C, MD
Title Director
Bishof, Christine Pabin, MD
Title Director
Farrell, Richard Michael, MD
Title Director
Fregia, Adrienne L, MD
Title Chariman
DEHAAN, PAUL H, M.D.
7502 CRYSTAL SPRINGS RD
CRYSTAL LAKE, IL 60012
CRYSTAL LAKE, IL 60012
Title Director
EUPIERRE, PETER E, M.D.
720 ST. JOSEPHS DR
OAK BROOL, IL 60523
OAK BROOL, IL 60523
Title D
BACKS, CRAIG A
1776 CHATHAM
SPRINGFIELD, IL 62704
SPRINGFIELD, IL 62704
Title D
BRUSCA, PETER A, M.D.
13161 CYPRESS GLEN
PALM BEACH GARDENS, FL 33418
PALM BEACH GARDENS, FL 33418
Title D
COOPER, SCOTT A, M.D.
60 W ERIE
APT 1401
CHICAGO, IL 60654
APT 1401
CHICAGO, IL 60654
Title D
DEGUIDE, JOHN J, M.D.
3847 GRAY FOX RUN
ROCKFORD, IL 61114
ROCKFORD, IL 61114
Title Secretary
GELINE, RICHARD A, M.D.
1225 CENTRAL RD
GLENVIEW, IL 60025
GLENVIEW, IL 60025
Title D
HOLT, WILLIAM J, M.D.
300 S 18TH ST
QUINCY, IL 62301
QUINCY, IL 62301
Title D
KANELLAKES, THEODORE M, M.D.
1015 ERINS GLEN DR
JOLIET, IL 60431
JOLIET, IL 60431
Title D
KISABETH, TIM C, M.D
3312 ROSENBERG LN
GODFREY, IL 62035
GODFREY, IL 62035
Title D
KOBLER, WILLIAM E, M.D.
6729 NILLBROOK DR
ROCKFORD, IL 61108
ROCKFORD, IL 61108
Title D
MILAM, JAMES L, M.D.
1205 ASHBURY LN
LIBERTYVILLE, IL 60048
LIBERTYVILLE, IL 60048
Title D
OLIVER, ROBERT J, M.D.
11630 RUBY CT
FRANKFORT, IL 60423
FRANKFORT, IL 60423
Title D
OLSON, SANDRA J, M.D.
220 E WALTON ST
UNIT 6W
CHICAGO, IL 60611
UNIT 6W
CHICAGO, IL 60611
Title D
POLEK, WAYNE V, M.D.
206 N WATER ST
#403
BATAVIA, IL 60510
#403
BATAVIA, IL 60510
Title D
SUNDRAM, PONNAMBALAM, M.D.
10 ANDREW CT
BURR RIDGE, IL 60527
BURR RIDGE, IL 60527
Title D
TAN, MERITA R.C., M.D.
61 W CHESTNUT
CHICAGO, IL 60610
CHICAGO, IL 60610
Title D
WOLFE, CHERYL D, M.D.
5000 S EAST END AVE
UNIT 17C
CHICAGO, IL 60615
UNIT 17C
CHICAGO, IL 60615
Title Director
Anderson, Richard C, MD
20 N MICHIGAN AVE, STE 700
CHICAGO, IL 60602
CHICAGO, IL 60602
Title Director
Bishof, Christine Pabin, MD
20 N MICHIGAN AVE, STE 700
CHICAGO, IL 60602
CHICAGO, IL 60602
Title Director
Farrell, Richard Michael, MD
20 N MICHIGAN AVE, STE 700
CHICAGO, IL 60602
CHICAGO, IL 60602
Title Director
Fregia, Adrienne L, MD
20 N MICHIGAN AVE, STE 700
CHICAGO, IL 60602
CHICAGO, IL 60602
Annual Reports
| Report Year | Filed Date |
| 2022 | 04/24/2022 |
| 2023 | 03/08/2023 |
| 2024 | 03/23/2024 |
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