FASI Insurance Services, Inc.
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| Name: | FASI Insurance Services, Inc. |
| Jurisdiction: | Rhode Island |
| Entity type: | Foreign Corporation |
| Status: | Withdrawn |
| Date of Organization in Rhode Island: | 17 Dec 2012 (13 years ago) |
| Date of Dissolution: | 23 Jun 2023 (2 years ago) |
| Date of Status Change: | 23 Jun 2023 (2 years ago) |
| Identification Number: | 000795111 |
| Place of Formation: | CALIFORNIA |
| Purpose: | INSURANCE SERVICES |
| Principal Address: |
655 W BROADWAY 11TH FL, SAN DIEGO, CA, 92101, USA
|
| Mailing Address: |
2301 ROSECRANS AVENUE SUITE 5100, EL SEGUNDO, CA, 90245, USA
|
NAICS
524210 Insurance Agencies and BrokeragesThis industry comprises establishments primarily engaged in acting as agents (i.e., brokers) in selling annuities and insurance policies. Learn more at the U.S. Census Bureau
| Name | Role | Address |
|---|---|---|
| BRETT HARRISON | PRESIDENT | 2301 ROSECRANS AVE EL SEGUNDO, CA 90245 USA |
| Name | Role | Address |
|---|---|---|
| KEITH SHORES | TREASURER | 2301 ROSECRANS AVE EL SEGUNDO, CA 90245 USA |
| Name | Role | Address |
|---|---|---|
| LISA GOK | SECRETARY | 2301 ROSECRANS AVE EL SEGUNDO, CA 90245 USA |
| Name | Role | Address |
|---|---|---|
| GARY CHAFFIN | TAX OFFICER | 2301 ROSECRANS AVE EL SEGUNDO, CA 90245 USA |
| Name | Role | Address |
|---|---|---|
| JOSEPH NEARY | VICE PRESIDENT | 2301 ROSECRANS AVE EL SEGUNDO, CA 90245 USA |
| Name | Role | Address |
|---|---|---|
| DAVID VAN HAVERMAAT | ASSISTANT SECRETARY | 2301 ROSECRANS AVE EL SEGUNDO, CA 90245 USA |
| Name | Role | Address |
|---|---|---|
| STANLEY SMILEY | DIRECTOR | 2301 ROSECRANS AVE EL SEGUNDO, CA 90245 USA |
| THOMAS TAYLOR | DIRECTOR | 2301 ROSECRANS AVE EL SEGUNDO, CA 90245 USA |
| BRETT HARRISON | DIRECTOR | 2301 ROSECRANS AVE EL SEGUNDO, CA 90245 USA |
| Name | Role | Address |
|---|---|---|
| CORPORATION SERVICE COMPANY | Agent | 222 JEFFERSON BOULEVARD SUITE 200, WARWICK, RI, 02888, USA |
| Number | Name | File Date |
|---|---|---|
| 202338644400 | Application for Certificate of Withdrawal | 2023-06-23 |
| 202332304300 | Annual Report | 2023-04-04 |
| 202212957260 | Annual Report | 2022-03-16 |
| 202191077650 | Annual Report | 2021-02-13 |
| 202034012530 | Annual Report | 2020-02-10 |
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Date of last update: 13 Jul 2025
Sources: Rhode Island Department of State