0001869722-21-000002.txt : 20210629 0001869722-21-000002.hdr.sgml : 20210629 20210628190145 ACCESSION NUMBER: 0001869722-21-000002 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20210629 DATE AS OF CHANGE: 20210628 EFFECTIVENESS DATE: 20210629 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Associated Insurance Brokers, Inc. CENTRAL INDEX KEY: 0001869722 IRS NUMBER: 000000000 STATE OF INCORPORATION: CA FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-404493 FILM NUMBER: 211055109 BUSINESS ADDRESS: STREET 1: 4980 HILLSDALE CIRCLE STREET 2: SUITE D CITY: EL DORADO HILLS STATE: CA ZIP: 95762 BUSINESS PHONE: (916) 941-0518 MAIL ADDRESS: STREET 1: 4980 HILLSDALE CIRCLE STREET 2: SUITE D CITY: EL DORADO HILLS STATE: CA ZIP: 95762 D 1 primary_doc.xml X0708 D LIVE 0001869722 Associated Insurance Brokers, Inc. 4980 HILLSDALE CIRCLE SUITE D EL DORADO HILLS CA CALIFORNIA 95762 (916) 941-0518 CALIFORNIA None None Corporation true Tiffany Bertolini 4980 Hillsdale Circle Suite D El Dorado Hills CA CALIFORNIA 95762 Executive Officer Charles Katz 4980 Hillsdale Circle Suite D El Dorado Hills CA CALIFORNIA 95762 Director Steve Bozzuto 4980 Hillsdale Circle Suite D El Dorado Hills CA CALIFORNIA 95762 Director John Bradford 4980 Hillsdale Circle Suite D El Dorado Hills CA CALIFORNIA 95762 Director Paul Nadler 4980 Hillsdale Circle Suite D El Dorado Hills CA CALIFORNIA 95762 Director Robert O'Neill 4980 Hillsdale Circle Suite D El Dorado Hills CA CALIFORNIA 95762 Director Dennis Sewell 4980 Hillsdale Circle Suite D El Dorado Hills CA CALIFORNIA 95762 Director Aaron Katz 4980 Hillsdale Circle Suite D El Dorado Hills CA CALIFORNIA 95762 Director Insurance Decline to Disclose 06b false 2021-06-14 false true false 19147 2196544 270356 1926188 false 8 0 0 0 true false Associated Insurance Brokers, Inc. /s/ Tiffany Bertolini Tiffany Bertolini President 2021-06-28