0001881217-21-000001.txt : 20210907
0001881217-21-000001.hdr.sgml : 20210907
20210907143659
ACCESSION NUMBER: 0001881217-21-000001
CONFORMED SUBMISSION TYPE: D
PUBLIC DOCUMENT COUNT: 1
ITEM INFORMATION: 06b
FILED AS OF DATE: 20210907
DATE AS OF CHANGE: 20210907
EFFECTIVENESS DATE: 20210907
FILER:
COMPANY DATA:
COMPANY CONFORMED NAME: Community Insurance Services LLC
CENTRAL INDEX KEY: 0001881217
IRS NUMBER: 301266733
STATE OF INCORPORATION: NC
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: D
SEC ACT: 1933 Act
SEC FILE NUMBER: 021-412533
FILM NUMBER: 211239113
BUSINESS ADDRESS:
STREET 1: 3601 HAWORTH DRIVE
CITY: RALEIGH
STATE: NC
ZIP: 27609
BUSINESS PHONE: 919-781-7979
MAIL ADDRESS:
STREET 1: 3601 HAWORTH DRIVE
CITY: RALEIGH
STATE: NC
ZIP: 27609
D
1
primary_doc.xml
X0708
D
LIVE
0001881217
Community Insurance Services LLC
3601 HAWORTH DRIVE
RALEIGH
NC
NORTH CAROLINA
27609
919-781-7979
NORTH CAROLINA
None
None
Limited Liability Company
true
2020
Sara
Webb
3601 Haworth Drive
Raleigh
NC
NORTH CAROLINA
27609
Executive Officer
Promoter
n/a
Community Bank Services, Inc.
3601 Haworth Drive
Raleigh
NC
NORTH CAROLINA
27609
Director
Promoter
Peter
Gwaltney
3601 Haworth Drive
Raleigh
NC
NORTH CAROLINA
27609
Executive Officer
Promoter
n/a
North Carolina Bankers Association
3601 Haworth Drive
Raleigh
NC
NORTH CAROLINA
27609
Promoter
Insurance
Decline to Disclose
- 06b
false
2021-07-15
true
true
false
2500
Indefinite
21250
Indefinite
false
2
0
0
300000
true
A portion of the proceeds will be used to pay a management fee during the first year of the offering, and may additionally be used to pay salaries of the Issuer's executive officers.
false
Community Insurance Services LLC
/s/ Sara Webb
Sara Webb
President
2021-09-07