| Entity Name: | OBSIDIAN INSURANCE HOLDINGS, INC. |
| Jurisdiction: | Connecticut |
| Legal type: | Stock |
| Citizenship: | Foreign |
| Status: | Active |
| Sub status: | Annual report due |
| Date Formed: | 03 Apr 2020 |
| Business ALEI: | 1340958 |
| Annual report due: | 03 Apr 2025 |
| NAICS code: | 524126 - Direct Property and Casualty Insurance Carriers |
| Business address: | 515 Centerpoint Drive, Middletown, CT, 06457, United States |
| Mailing address: | 515 Centerpoint Drive, Suite 2207, Middletown, CT, United States, 06457 |
| ZIP code: | 06457 |
| County: | Middlesex |
| Place of Formation: | DELAWARE |
| E-Mail: | kwhitney@obsidianspecialty.com |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| OBSIDIAN INSURANCE HOLDINGS, INC. 401(K) PLAN | 2023 | 842685941 | 2024-03-29 | OBSIDIAN INSURANCE HOLDINGS, INC. | 31 | |||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2024-03-29 |
| Name of individual signing | CRAIG RAPPAPORT |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2020-01-01 |
| Business code | 524210 |
| Sponsor’s telephone number | 8603253202 |
| Plan sponsor’s address | 515 CENTERPOINT DR SUITE #2207, MIDDLETOWN, CT, 06547 |
Signature of
| Role | Plan administrator |
| Date | 2023-03-23 |
| Name of individual signing | CRAIG RAPPAPORT |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Business address | |
|---|---|---|---|
| Secretary of State | Agent | 165 Capitol Ave., P.O. BOX 150470, P.O. BOX 150470, Hartford, CT, 06115-0470, United States | CRAPPAPORT@OBSIDIANSPECIALTY.COM |
| Name | Role | Business address | Residence address |
|---|---|---|---|
| CRAIG RAPPAPORT | Officer | 1330 AVENUE OF THE AMERICAS, SUITE 23A, NEW YORK, NY, 10019, United States | 14 SCHOOL HOUSE LN, SIMSBURY, CT, 06070, United States |
| Name | Role | Business address | Residence address |
|---|---|---|---|
| CRAIG RAPPAPORT | Director | 1330 AVENUE OF THE AMERICAS, SUITE 23A, NEW YORK, NY, 10019, United States | 14 SCHOOL HOUSE LN, SIMSBURY, CT, 06070, United States |
| Filing number | Filing date | Effective date | Filing category | Filing type | Report year |
|---|---|---|---|---|---|
| BF-0012078652 | 2024-03-04 | No data | Annual Report | Annual Report | No data |
| BF-0011494653 | 2023-03-06 | No data | Annual Report | Annual Report | No data |
| BF-0010662943 | 2022-06-29 | No data | Change of Business Address | Business Address Change | No data |
| BF-0010327463 | 2022-04-04 | No data | Annual Report | Annual Report | 2022 |
| 0007340207 | 2021-05-17 | No data | Annual Report | Annual Report | 2021 |
| 0006873280 | 2020-04-03 | 2020-04-03 | Business Registration | Certificate of Authority | No data |
Date of last update: 25 Nov 2024
Sources: Connecticut's Official State Website
