| Entity Name: | FASI INSURANCE SERVICES, INC. |
| Jurisdiction: | Connecticut |
| Legal type: | Stock |
| Citizenship: | Foreign |
| Status: | Withdrawn |
| Date Formed: | 01 May 2009 |
| Business ALEI: | 0970976 |
| Annual report due: | 01 May 2024 |
| NAICS code: | 524210 - Insurance Agencies and Brokerages |
| Business address: | 655 W Broadway, San Diego, CA, 92101-8590, United States |
| Mailing address: | C/O LEGAL DEPT., CETERA FINANCIAL GROUP, 2301 ROSECRANS AVE. SUITE 5100, STE 5100, EL SEGUNDO, CA, UNITED STATES, 90245 |
| Place of Formation: | CALIFORNIA |
| E-Mail: | taxdepartment@cetera.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 |
|---|---|---|---|
| DAVID VAN HAVERMAAT | Officer | 2301 Rosecrans Ave, STE 5100, El Segundo, CA, 90245-4967, United States | 2301 Rosecrans Ave, STE 5100, El Segundo, CA, 90245-4967, United States |
| KEVIN FOX | Officer | 2301 Rosecrans Ave, STE 5100, El Segundo, CA, 90245-4967, United States | 17 LEWIS ST, 17 LEWIS ST, MILFORD, CT, 06460, United States |
| STANLEY SMILEY | Officer | 2301 Rosecrans Ave, STE 5100, El Segundo, CA, 90245-4967, United States | 2301 Rosecrans Ave, STE 5100, El Segundo, CA, 90245-4967, United States |
| BRETT HARRISON | Officer | 2301 Rosecrans Ave, STE 5100, El Segundo, CA, 90245-4967, United States | 2301 Rosecrans Ave, STE 5100, El Segundo, CA, 90245-4967, United States |
| LISA GOK | Officer | 2301 Rosecrans Ave, STE 5100, El Segundo, CA, 90245-4967, United States | 3200 OLYMPUS BLVD SUITE 100, DALLAS, TX, 75019, United States |
| JOSEPH NEARY | Officer | 2301 Rosecrans Ave, STE 5100, El Segundo, CA, 90245-4967, United States | 2301 Rosecrans Ave, STE 5100, El Segundo, CA, 90245-4967, United States |
| KEITH SHORES | Officer | 2301 Rosecrans Ave, STE 5100, El Segundo, CA, 90245-4967, United States | 3200 OLYMPUS BLVD SUITE 100, DALLAS, TX, 75019, United States |
| GARY CHAFFIN | Officer | 2301 Rosecrans Ave, STE 5100, El Segundo, CA, 90245-4967, United States | 2301 Rosecrans Ave, STE 5100, El Segundo, CA, 90245-4967, United States |
| Name | Role | Business address | Residence address |
|---|---|---|---|
| STANLEY SMILEY | Director | 2301 Rosecrans Ave, STE 5100, El Segundo, CA, 90245-4967, United States | 2301 Rosecrans Ave, STE 5100, El Segundo, CA, 90245-4967, United States |
| BRETT HARRISON | Director | 2301 Rosecrans Ave, STE 5100, El Segundo, CA, 90245-4967, United States | 2301 Rosecrans Ave, STE 5100, El Segundo, CA, 90245-4967, United States |
| THOMAS TAYLOR | Director | 2301 Rosecrans Ave, STE 5100, El Segundo, CA, 90245-4967, United States | 2301 Rosecrans Ave, STE 5100, El Segundo, CA, 90245-4967, United States |
| Type | Old value | New value | Date of change |
|---|---|---|---|
| Name change | ADVANCED EQUITIES INSURANCE SERVICES, INC. | FASI INSURANCE SERVICES, INC. | 2012-10-05 |
| Filing number | Filing date | Effective date | Filing category | Filing type | Report year |
|---|---|---|---|---|---|
| BF-0011860072 | 2023-06-22 | 2023-06-22 | Withdrawal | Certificate of Withdrawal | No data |
| BF-0011292269 | 2023-04-18 | No data | Annual Report | Annual Report | No data |
| BF-0010274716 | 2022-04-11 | No data | Annual Report | Annual Report | 2022 |
| BF-0010458060 | 2022-01-14 | 2022-01-14 | Mass Agent Change � Address | Agent Address Change | No data |
| 0007353440 | 2021-05-27 | 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 |
| 0006904300 | 2020-05-14 | No data | Annual Report | Annual Report | 2020 |
| 0006553616 | 2019-05-08 | No data | Annual Report | Annual Report | 2019 |
| 0006258080 | 2018-10-10 | 2018-10-10 | Change of Agent | Agent Change | No data |
Date of last update: 25 Nov 2024
Sources: Connecticut's Official State Website
