| Name: | Excelsior Insurance Brokerage, Inc. |
| Jurisdiction: | Rhode Island |
| Entity type: | Foreign Corporation |
| Status: | Activ |
| Date of Organization in Rhode Island: | 26 Jan 2016 (9 years ago) |
| Identification Number: | 001664793 |
| Place of Formation: | DELAWARE |
| Principal Address: | 9151 BOULEVARD 26, NORTH RICHLAND HILLS, TX, 76180, USA |
| Purpose: | INSURANCE BROKERAGE/AGENCY |
| NAICS: | 524210 - Insurance Agencies and Brokerages |
| Name | Role | Address |
|---|---|---|
| CT CORPORATION SYSTEM | Agent | 450 VETERANS MEMORIAL PARKWAY SUITE 7A, EAST PROVIDENCE, RI, 02914, USA |
| Name | Role | Address |
|---|---|---|
| PETER MARSHALL GILL | TREASURER | 9151 BOULEVARD 26 NORTH RICHLAND HILLS, TX 76180 USA |
| Name | Role | Address |
|---|---|---|
| JENNIFER LUN LEWIS-DAVID | SECRETARY | 9151 BOULEVARD 26 NORTH RICHLAND HILLS, TX 76180 USA |
| Name | Role | Address |
|---|---|---|
| HEATHER ANASTASIA LANG | ASSISTANT SECRETARY | 9151 BOULEVARD 26 NORTH RICHLAND HILLS, TX 76180 USA |
| Name | Role | Address |
|---|---|---|
| DANIEL SCOTT GARRISON | VICE PRESIDENT | 9151 BOULEVARD 26 NORTH RICHLAND HILLS, TX 76180 USA |
| TARYN SARAH RISUCCI | VICE PRESIDENT | 9151 BOULEVARD 26 NORTH RICHLAND HILLS, TX 76180 USA |
| Name | Role | Address |
|---|---|---|
| THOMAS JOHN NICOL | CHIEF EXECUTIVE OFFICER, PRESIDENT, DIRECTOR | 9151 BOULEVARD 26 NORTH RICHLAND HILLS, TX 76180 USA |
| Name | Role | Address |
|---|---|---|
| AHMAD ISAM ANSARI | CFO, VICE PRESIDENT, FINANCE | 9151 BOULEVARD 26 NORTH RICHLAND HILLS, TX 76180 USA |
| Name | Role | Address |
|---|---|---|
| AHMAD ISAM ANSARI | DIRECTOR | 9151 BOULEVARD 26 NORTH RICHLAND HILLS, TX 76180 USA |
| Type | Date | Old Value | New Value |
|---|---|---|---|
| Conversion | 2016-07-06 | EXCELSIOR BENEFITS, LLC on 07-06-2016 | Excelsior Insurance Brokerage, Inc. |
| Number | Name | File Date |
|---|---|---|
| 202452603000 | Annual Report | 2024-04-25 |
| 202445403330 | Miscellaneous Filing (Fee Applicable) | 2024-02-02 |
| 202333965960 | Annual Report | 2023-04-25 |
| 202215197500 | Annual Report | 2022-04-19 |
| 202192102270 | Annual Report | 2021-02-19 |
| 202032903920 | Annual Report | 2020-01-23 |
| 201986077950 | Annual Report | 2019-02-06 |
| 201858714790 | Annual Report | 2018-02-21 |
| 201730900990 | Annual Report | 2017-01-26 |
| 201601324290 | Application for Transfer of Authority | 2016-07-06 |
Date of last update: 26 Oct 2024
Sources: Rhode Island Department of State
