0001869722-21-000003.txt : 20210826
0001869722-21-000003.hdr.sgml : 20210826
20210825180407
ACCESSION NUMBER: 0001869722-21-000003
CONFORMED SUBMISSION TYPE: D/A
PUBLIC DOCUMENT COUNT: 1
ITEM INFORMATION: 06b
FILED AS OF DATE: 20210826
DATE AS OF CHANGE: 20210825
EFFECTIVENESS DATE: 20210826
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/A
SEC ACT: 1933 Act
SEC FILE NUMBER: 021-404493
FILM NUMBER: 211208089
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/A
1
primary_doc.xml
X0708
D/A
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
true
0001869722-21-000002
2021-06-14
false
true
false
19147
2196544
1317505
879039
false
32
0
0
0
true
false
Associated Insurance Brokers, Inc.
/s/ Tiffany Bertolini
Tiffany Bertolini
President
2021-08-24