| Entity Name: | CRUMP LIFE INSURANCE SERVICES, INC. |
| Jurisdiction: | Connecticut |
| Legal type: | Stock |
| Citizenship: | Foreign |
| Status: | Withdrawn |
| Sub status: | Annual report past due |
| Date Formed: | 19 Oct 2006 |
| Business ALEI: | 0876501 |
| Annual report due: | 19 Oct 2023 |
| NAICS code: | 524210 - Insurance Agencies and Brokerages |
| Business address: | 389 INTERPACE PARKWAY, 4TH FLOOR, PARSIPPANY, NJ, 07054, United States |
| Mailing address: | 214 N. TRYON ST., CHARLOTTE, NC, UNITED STATES, 28202-1078 |
| Place of Formation: | PENNSYLVANIA |
| E-Mail: | compliancemail@cscinfo.com |
| Name | Role | Business address |
|---|---|---|
| Secretary of State | Agent | 165 Capitol Ave., P.O. BOX 150470, Hartford, CT, 06115-0470, United States |
| Name | Role | Business address | Residence address |
|---|---|---|---|
| JENNIFER A. MATLOCK | Officer | 389 INTERPACE PARKWAY, 4TH FLOOR, PARSIPPANY, NJ, 07054, United States | 6075 POPLAR AVENUE, SUITE 400, MEMPHIS, TN, 38119, United States |
| MICHAEL MARTINI | Officer | 389 INTERPACE PARKWAY, 4TH FLOOR, PARSIPPANY, NJ, 07054, United States | 389 INTERPACE PARKWAY, 4TH FLOOR, PARSIPPANY, NJ, 07054, United States |
| TAMMY J. STRINGER | Officer | 389 INTERPACE PARKWAY, 4TH FLOOR, PARSIPPANY, NJ, 07054, United States | 2 WATERSIDE CROSSING, SUITE 403, SUITE 403, WINDSOR, CT, 06095, United States |
| ANDREA L. HOLDER | Officer | 389 INTERPACE PARKWAY, 4TH FLOOR, PARSIPPANY, NJ, 07054, United States | 389 INTERPACE PARKWAY, 4TH FLOOR, PARSIPPANY, NJ, 07054, United States |
| Name | Role | Business address | Residence address |
|---|---|---|---|
| S. DAVISON OBENAUER | Director | 389 INTERPACE PARKWAY, 4TH FLOOR, PARSIPPANY, NJ, 07054, United States | 2 WATERSIDE CROSSING, SUITE 403, SUITE 403, WINDSOR, CT, 06095, United States |
| ANDREA L. HOLDER | Director | 389 INTERPACE PARKWAY, 4TH FLOOR, PARSIPPANY, NJ, 07054, United States | 389 INTERPACE PARKWAY, 4TH FLOOR, PARSIPPANY, NJ, 07054, United States |
| JOHN M. HOWARD | Director | 389 INTERPACE PARKWAY, 4TH FLOOR, PARSIPPANY, NJ, 07054, United States | 6075 POPLAR AVENUE, SUITE 400, MEMPHIS, TN, 38119, United States |
| Type | Old value | New value | Date of change |
|---|---|---|---|
| Name change | BISYS INSURANCE SERVICES, INC. OF PA | CRUMP LIFE INSURANCE SERVICES, INC. | 2008-02-06 |
| Filing number | Filing date | Effective date | Filing category | Filing type | Report year |
|---|---|---|---|---|---|
| BF-0011719240 | 2023-03-01 | 2023-03-01 | Withdrawal | Certificate of Withdrawal | No data |
| BF-0010870447 | 2022-10-10 | No data | Annual Report | Annual Report | No data |
| BF-0009817082 | 2022-01-20 | No data | Annual Report | Annual Report | No data |
| BF-0010460920 | 2022-01-14 | 2022-01-14 | Mass Agent Change � Address | Agent Address Change | No data |
| BF-0010116298 | 2021-09-15 | 2021-09-15 | Change of Agent | Agent Change | No data |
| 0006982615 | 2020-09-17 | No data | Annual Report | Annual Report | 2020 |
| 0006634654 | 2019-09-03 | No data | Annual Report | Annual Report | 2019 |
| 0006240845 | 2018-09-03 | No data | Annual Report | Annual Report | 2018 |
| 0005921849 | 2017-09-07 | No data | Annual Report | Annual Report | 2017 |
| 0005642917 | 2016-09-06 | No data | Annual Report | Annual Report | 2016 |
Date of last update: 25 Nov 2024
Sources: Connecticut's Official State Website
