| Entity Name: | SOUTHERN ILLINOIS SURGICAL APPLIANCE CO. |
| Jurisdiction: | Illinois |
| Entity Type: | Corporation - Domestic BCA |
| Status: | Dissolved |
| Date Formed: | 30 Dec 1987 |
| Date of Dissolution: | 15 Oct 2012 |
| Company Number: | CORP_54918089 |
| File Number: | 54918089 |
| Type of Business: | Wholesale and Retail |
| Date Status Change: | 15 Oct 2012 |
| Place of Formation: | ILLINOIS |
| Name and Address | Role | Appointment Date |
|---|---|---|
| RALPH RANDOLPH LEWIS, 19 W FRANKFORT PLAZA, WEST FRANKFORT, 62896, FRANKLIN | Agent | 1991-12-12 |
| Name and Address | Role |
|---|---|
| RANDY LEWIS, 2722 CARNOUSTIE DR, MARION, IL, 62959 | President |
| License Type | License Number | Status | License Code | License Description | Business Activity | Date Issued | Effective Date | Expiration Date |
|---|---|---|---|---|---|---|---|---|
| HME AND SERVICES PROV | 203001005 | No data | No data | HOME MEDICAL EQUIPMENT AND SERVICES PROVIDER | No data | 2008-04-30 | 2012-03-08 | 2015-03-31 |
| HME AND SERVICES PROV | 203000850 | No data | No data | HOME MEDICAL EQUIPMENT AND SERVICES PROVIDER | No data | 2006-10-24 | 2006-10-24 | 2009-03-31 |
| HME AND SERVICES PROV | 203000479 | No data | No data | HOME MEDICAL EQUIPMENT AND SERVICES PROVIDER | No data | 2003-08-13 | 2006-01-19 | 2009-03-31 |
| HME AND SERVICES PROV | 203000364 | No data | No data | HOME MEDICAL EQUIPMENT AND SERVICES PROVIDER | No data | 2002-04-01 | 2012-03-08 | 2015-03-31 |
| HME AND SERVICES PROV | 203000363 | No data | No data | HOME MEDICAL EQUIPMENT AND SERVICES PROVIDER | No data | 2002-04-01 | 2012-03-08 | 2015-03-31 |
| HME AND SERVICES PROV | 203000360 | No data | No data | HOME MEDICAL EQUIPMENT AND SERVICES PROVIDER | No data | 2002-04-01 | 2006-01-19 | 2009-03-31 |
| HME AND SERVICES PROV | 203000361 | No data | No data | HOME MEDICAL EQUIPMENT AND SERVICES PROVIDER | No data | 2002-04-01 | 2003-04-10 | 2006-03-31 |
| HME AND SERVICES PROV | 203000362 | No data | No data | HOME MEDICAL EQUIPMENT AND SERVICES PROVIDER | No data | 2002-04-01 | 2012-03-08 | 2015-03-31 |
| Name | Type | Effective Date | Cancellation Date | Cancellation Type | Last Renewal Date |
|---|---|---|---|---|---|
| SISA HOME MEDICAL EQUIPMENT | No data | 2004-01-23 | 2012-10-15 | Voluntary Cancellation | No data |
| Name | Change Date |
|---|---|
| T. R. LEWIS CORPORATION | 1990-07-02 |
| Class | Series | Voting Rights | Authorized Shares | Issued Shares | Par Value |
|---|---|---|---|---|---|
| COMM | No data | Voting Rights | 1500 | 1000000 | No data |
Date of last update: 27 Jan 2025
