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