| Entity Name: | PELATIS INSURANCE AGENCY CORP. |
| Jurisdiction: | Connecticut |
| Legal type: | Stock |
| Citizenship: | Foreign |
| Status: | Active |
| Sub status: | Annual report due |
| Date Formed: | 24 May 2002 (Companies founded in May 2002) |
| Business ALEI: | 0715956 |
| Annual report due: | 24 May 2025 |
| NAICS code: | 524298 - All Other Insurance Related Activities |
| Business address: | 3217 S. DECKER LAKE DR., SALT LAKE CITY, UT, 84119, United States |
| Mailing address: | 3217 S. DECKER LAKE DR. ATTN: COMPLIANCE DEPARTMENT, SALT LAKE CITY, UT, United States, 84119 |
| Place of Formation: | UTAH |
| E-Mail: | licensing@spservicing.com |
| Name | Role |
|---|---|
| CORPORATION SERVICE COMPANY | Agent |
| Name | Role | Business address | Residence address |
|---|---|---|---|
| JUSTIN CROWLEY | Officer | 3217 S. DECKER LAKE DR., SALT LAKE CITY, UT, 84119, United States | 2064 E 25 S, LAYTON, UT, 84040, United States |
| Troy Matthews | Officer | 3217 S. DECKER LAKE DR., SALT LAKE CITY, UT, 84119, United States | 3217 S Decker Lake DR, SALT LAKE CITY, UT, UT, 84116, United States |
| Name | Role | Business address | Residence address |
|---|---|---|---|
| Randhir Gandhi | Director | 3217 S Decker Lake DR, SALT LAKE CITY, UT, UT, 84119, United States | 3217 S Decker Lake DR, SALT LAKE CITY, UT, UT, 84119, United States |
| Type | Old value | New value | Date of change |
|---|---|---|---|
| Name change | FAIRBANKS INSURANCE AGENCY CORP. | PELATIS INSURANCE AGENCY CORP. | 2004-12-02 |
| Filing number | Filing date | Effective date | Filing category | Filing type | Report year |
|---|---|---|---|---|---|
| BF-0012085805 | 2024-04-24 | No data | Annual Report | Annual Report | No data |
| BF-0011408650 | 2023-04-28 | No data | Annual Report | Annual Report | No data |
| BF-0010269270 | 2022-05-03 | No data | Annual Report | Annual Report | 2022 |
| BF-0010459758 | 2022-01-14 | 2022-01-14 | Mass Agent Change � Address | Agent Address Change | No data |
| 0007350732 | 2021-05-24 | No data | Annual Report | Annual Report | 2021 |
| 0006943532 | 2020-07-06 | 2020-07-06 | Change of Agent Address | Agent Address Change | No data |
| 0006950703 | 2020-07-06 | 2020-07-06 | Change of Agent Address | Agent Address Change | No data |
| 0006907840 | 2020-05-21 | No data | Annual Report | Annual Report | 2020 |
| 0006564604 | 2019-05-24 | No data | Annual Report | Annual Report | 2019 |
| 0006173015 | 2018-05-01 | No data | Annual Report | Annual Report | 2018 |
Date of last update: 11 Nov 2024
Sources: Connecticut's Official State Website
