| Entity Name: | Leavitt Select Insurance Services, Inc. |
| Jurisdiction: | Connecticut |
| Legal type: | Stock |
| Citizenship: | Foreign |
| Status: | Active |
| Sub status: | Annual report due |
| Date Formed: | 12 Aug 2022 |
| Branch of: | Leavitt Select Insurance Services, Inc., IDAHO (Company Number 244738) |
| Business ALEI: | 2615108 |
| Annual report due: | 12 Aug 2025 |
| NAICS code: | 524210 - Insurance Agencies and Brokerages |
| Business address: | 135 W Main, Rexburg, ID, 83440, United States |
| Mailing address: | PO Box 130, Cedar City, UT, United States, 84721-0135 |
| Place of Formation: | IDAHO |
| E-Mail: | daye-bearnson@leavitt.com |
| Name | Role |
|---|---|
| CORPORATION SERVICE COMPANY | Agent |
| Name | Role | Business address | Residence address |
|---|---|---|---|
| Mark Tyler Seymour | Officer | 677 S Woodruff Ave, Idaho Falls, ID, 83401-5596, United States | 677 S Woodruff Ave, Idaho Falls, ID, 83401-5596, United States |
| Eric Petersen | Officer | 2200 S Main St, Salt Lake City, UT, 84115, United States | 12 CIRCLE BEACH ROAD, MADISON, CT, 06443, United States |
| Caleb Houghton | Officer | 2200 S. Main St., Salt Lake City, UT, 84115, United States | 2200 S. Main St., Salt Lake City, UT, 84115, United States |
| Bracken Longhurst | Officer | 136 W Center St, Cedar City, UT, 84720-2560, United States | 136 W. University Blvd., Cedar City, UT, 84720, United States |
| Alyce Hillman | Officer | 6220 N Discovery Way, Boise, ID, 83713-0207, United States | 6220 N Discovery Way, Boise, ID, 83713-0207, United States |
| Mark Lund | Officer | 120 W Cache Valley Blvd, Logan, UT, 84341-2696, United States | 120 W Cache Valley Blvd, Logan, UT, 84341-2696, United States |
| Kevin P. Grady | Officer | 136 W Center St, Cedar City, UT, 84720-2560, United States | 136 W Center St, Cedar City, UT, 84720-2560, United States |
| Aaron Cottle | Officer | 135 W Main, Rexburg, ID, 83440, United States | 135 W Main, Rexburg, ID, 83440, United States |
| Rocky Hallows | Officer | 136 W Center St, Cedar City, UT, 84720-2560, United States | 136 W Center St, Cedar City, UT, 84720-2560, United States |
| Michael Vandenburg | Officer | 6220 N Discovery Way, Boise, ID, 83713-0207, United States | 6220 N Discovery Way, Boise, ID, 83713-0207, United States |
| Name | Role | Business address | Residence address |
|---|---|---|---|
| Mark Tyler Seymour | Director | 677 S Woodruff Ave, Idaho Falls, ID, 83401-5596, United States | 677 S Woodruff Ave, Idaho Falls, ID, 83401-5596, United States |
| Eric Petersen | Director | 2200 S Main St, Salt Lake City, UT, 84115, United States | 12 CIRCLE BEACH ROAD, MADISON, CT, 06443, United States |
| Caleb Houghton | Director | 2200 S. Main St., Salt Lake City, UT, 84115, United States | 2200 S. Main St., Salt Lake City, UT, 84115, United States |
| Michael Vandenburg | Director | 6220 N Discovery Way, Boise, ID, 83713-0207, United States | 6220 N Discovery Way, Boise, ID, 83713-0207, United States |
| Joseph Callister | Director | 136 W Center St, Cedar City, UT, 84720-2560, United States | 136 W Center St, Cedar City, UT, 84720-2560, United States |
| Bracken Longhurst | Director | 136 W Center St, Cedar City, UT, 84720-2560, United States | 136 W. University Blvd., Cedar City, UT, 84720, United States |
| Caylor J. Dalley | Director | 136 W Center St, Cedar City, UT, 84720-2560, United States | 136 W. University Blvd., Cedar City, UT, 84720, United States |
| Greg Suman | Director | 136 W Center St, Cedar City, UT, 84720-2560, United States | 136 W Center St, Cedar City, UT, 84720-2560, United States |
| Alyce Hillman | Director | 6220 N Discovery Way, Boise, ID, 83713-0207, United States | 6220 N Discovery Way, Boise, ID, 83713-0207, United States |
| Scott Barney | Director | 136 W Center St, Cedar City, UT, 84720-2560, United States | 136 W Center St, Cedar City, UT, 84720-2560, United States |
| Filing number | Filing date | Effective date | Filing category | Filing type | Report year |
|---|---|---|---|---|---|
| BF-0012160389 | 2024-07-15 | No data | Annual Report | Annual Report | No data |
| BF-0012681848 | 2024-07-03 | 2024-07-03 | Name Change Amendment | Amended Certificate of Authority | No data |
| BF-0011518042 | 2023-07-14 | No data | Annual Report | Annual Report | No data |
| BF-0010967529 | 2022-08-12 | No data | Business Registration | Certificate of Authority | No data |
Date of last update: 25 Nov 2024
Sources: Connecticut's Official State Website
