| Name: | PROVIDENTIAL LIFE INSURANCE COMPANY |
| Jurisdiction: | MISSISSIPPI |
| Business Type: | Profit Corporation |
| Status: | Intent To Dissolve - Tax |
| Effective Date: | 10 Jun 1987 (38 years ago) |
| Business ID: | 8702740 |
| ZIP code: | 39401 |
| County: | Forrest |
| State of Incorporation: | MISSISSIPPI |
| Principal Office Address: | 710 BAY STREETHATTIESBURG, MS 39401 |
| Name | Role | Address |
|---|---|---|
| J L TED WILLIAMS | Agent | 710 BAY ST, HATTIESBURG, MS |
| Name | Role | Address |
|---|---|---|
| KATHRYN SANDRA FAIRLEY | Director | 109 CHELSEA PLACE, HATTIESBURG, MS 10000 |
| KENNETH EARL FAIRLEY | Director | 109 CHELSEA PLACE, HATTIESBURG, MS 10000 |
| J L TED WILLIAMS | Director | 710 BAY ST, HATTIESBURG, MS |
| Name | Role | Address |
|---|---|---|
| KATHRYN SANDRA FAIRLEY | Secretary | 109 CHELSEA PLACE, HATTIESBURG, MS 10000 |
| Name | Role | Address |
|---|---|---|
| KATHRYN SANDRA FAIRLEY | Treasurer | 109 CHELSEA PLACE, HATTIESBURG, MS 10000 |
| Name | Role | Address |
|---|---|---|
| KENNETH EARL FAIRLEY | President | 109 CHELSEA PLACE, HATTIESBURG, MS 10000 |
| Name | Role | Address |
|---|---|---|
| J L TED WILLIAMS | Vice President | 710 BAY ST, HATTIESBURG, MS |
| Type | Status | Filed Date | Description |
|---|---|---|---|
| Notice to Dissolve/Revoke | Filed | 2002-06-19 | Notice to Dissolve/Revoke |
| Name Reservation Form | Filed | 1987-06-10 | Name Reservation |
Date of last update: 30 Jan 2025
Sources: Mississippi Secretary of State
