| Name: | Self Insured Services Company, LLC |
| Jurisdiction: | Idaho |
| Legal type: | Foreign Limited Liability Company |
| Status: | Active-Existing |
| Date of registration: | 11 Jan 2013 (12 years ago) |
| Financial Date End: | 31 Jan 2026 |
| Entity Number: | 594603 |
| Place of Formation: | IOWA |
| File Number: | 594603 |
| Principal Address: | 800 MAIN ST DUBUQUE, IA 52001-6822 |
| Mailing Address: | BONNIE DELUCA 800 MAIN ST DUBUQUE, IA 52001-6822 |
| Name | Role | Address |
|---|---|---|
| CORPORATION SERVICE COMPANY | Agent | 1305 12TH AVE RD, NAMPA, ID 83686 |
| Name | Role | Address | Appointed On |
|---|---|---|---|
| DAVID O BECKER | Governor | 800 MAIN ST, DUBUQUE, IA 52001 | 2024-04-01 |
| Name | Role | Address | Appointed On | Resigned On |
|---|---|---|---|---|
| Bradley Plummer | Vice President | 800 MAIN STREET, DUBUQUE, IA 52001 | 2023-12-21 | 2024-04-01 |
| Name | Role | Address | Appointed On | Resigned On |
|---|---|---|---|---|
| Timothy Berns | Secretary | 800 MAIN ST, DUBUQUE, IA 52001 | 2023-12-21 | 2024-04-01 |
| Name | Role | Address | Appointed On | Resigned On |
|---|---|---|---|---|
| Andrew Butler | President | 800 MAIN ST, DUBUQUE, IA 52001 | 2020-12-03 | 2024-04-01 |
| Name | Role | Address | Appointed On |
|---|---|---|---|
| DAVID O BECKER | Manager | 800 MAIN ST, DUBUQUE, IA 52001 | 2024-12-27 |
| Filing Name | Filing Number | Filing date |
|---|---|---|
| Annual Report | 0006036156 | 2024-12-27 |
| Amendment of Foreign Registration with Entity Type Change | 0005693558 | 2024-04-01 |
| Annual Report | 0005524633 | 2023-12-21 |
| Annual Report | 0005063564 | 2023-01-12 |
| Registered Agent Name/Address Change (mass change) | 0004644831 | 2022-03-08 |
| Annual Report | 0004541659 | 2021-12-27 |
| Registered Agent Name/Address Change (mass change) | 0004470257 | 2021-10-29 |
| Annual Report | 0004086003 | 2020-12-03 |
| Annual Report | 0003726189 | 2020-01-02 |
| Change of Registered Office/Agent/Both (by Entity) | 0003555731 | 2019-07-01 |
Date of last update: 12 Apr 2025
Sources: Idaho Secretary of State
