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Rliest event reported) July 13, 2004 INDEPENDENCE HOLDING COMPANY (Exact name of registrant as specified in its charter) Delaware (State or other jurisdiction of incorporation or organization) 010306 (Commission File Number) 96 Cummings Point Road, Stamford, Connecticut (Address of principal executive offices) 58-1407235 (I.R.S. Employer Identification No.) 06902 (Zip Code) Registrant's telephone number, including area code: (203) 358-8000 Item 5. Other Events and Required FD Disclosure.

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This guide provides clear, step-by-step instructions on how to fill out the Inhojuly13048k.doc - Sec form efficiently online. Whether you are a beginner or have some experience, this resource aims to assist you in completing the document with confidence.

Follow the steps to successfully fill out your form online.

  1. Click the ‘Get Form’ button to access the document and open it in your preferred online editor.
  2. Fill in the date of report in the designated field. Enter the date corresponding to the earliest event reported (e.g., July 13, 2004).
  3. In the ‘Registrant' section, provide the exact name of the company as it appears in its charter, which is Independence Holding Company.
  4. Complete the ‘State or other jurisdiction of incorporation or organization’ field by entering 'Delaware' for this document.
  5. Input the Commission File Number, which is represented as '010306'.
  6. Enter the complete address of the principal executive offices, which is 96 Cummings Point Road, Stamford, Connecticut, followed by '06902' in the zip code field.
  7. Provide the I.R.S. Employer Identification Number, recorded as '58-1407235'.
  8. Fill in the registrant's telephone number, including the area code: (203) 358-8000.
  9. In the 'Item 5. Other Events' section, summarize relevant events or necessary disclosures, ensuring to accurately represent the information regarding the acquisition.
  10. At the bottom of the form, input the signature line, ensuring it includes the name, title (e.g., Vice President and Chief Financial Officer), and the date of signature.
  11. Save any changes you made to the document. You can choose to download, print, or share the form based on your needs.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Help Portal
Legal Resources
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232