| Entity Name: | SELF-INSURED ADMINISTRATORS, INC. |
| Jurisdiction: | Connecticut |
| Legal type: | Stock |
| Citizenship: | Domestic |
| Status: | Forfeited |
| Date Formed: | 04 Sep 1987 |
| Business ALEI: | 0205821 |
| Mailing address: | P.O. BOX 3169, DANBURY, CT, 06813 |
| Place of Formation: | CONNECTICUT |
| Total authorized shares: | 5000 |
| Name | Role | Business address | Residence address |
|---|---|---|---|
| ROY W. MORDHORST | Agent | 36 PADANARAM ROAD, DANBURY, CT, 06811, United States | 5 WESTWOOD DR, DANBURY, CT, 06810, United States |
| Filing number | Filing date | Effective date | Filing category | Filing type | Report year |
|---|---|---|---|---|---|
| 0000785447 | 1992-12-04 | No data | Administrative Dissolution | Certificate of Dissolution/Revocation | No data |
| 0000785446 | 1992-08-21 | No data | Administrative Dissolution | Notice of Intent to Dissolve/Revoke | No data |
| 0000785445 | 1987-09-18 | No data | First Report | Organization and First Report | No data |
| 0000785444 | 1987-09-04 | No data | Business Formation | Certificate of Incorporation | No data |
Date of last update: 13 Jan 2025
Sources: Connecticut's Official State Website
