COASTAL SELECT INSURANCE COMPANY

Foreign Profit Corporation

Filing Information

• Document Number: F23000003391
• FEI/EIN Number: 94-3266086
• Date Filed: 06/01/2023
• State: CA
• Status: ACTIVE

Principal Address

4605 Business Center Drive
Suite 300
Fairfield, CA 94534

Changed: 03/26/2024

Mailing Address

4605 Business Center Drive
Suite 330
Fairfield, CA 94534

Changed: 03/26/2024

Registered Agent Name & Address

FLORIDA CHIEF FINANCIAL OFFICER

200 E. GAINES ST.
TALLAHASSEE, FL 32399

Officer/Director Detail

Name & Address

Title DAD

LOYA, VIDA

4605 Business Center Drive
Suite 300
Fairfield, CA 94534

Title AS

MORRAH, JILL

4605 Business Center Drive
Suite 300
Fairfield, CA 94534

Title VPSD

HAGEDORN, ROBERT

4605 Business Center Drive
Suite 300
Fairfield, CA 94534

Title GC

HAGEDORN, ROBERT

4605 Business Center Drive
Suite 300
Fairfield, CA 94534

Title VPD

GOMEZ, LORI

4605 Business Center Drive
Suite 300
Fairfield, CA 94534

Title Director

Sanders, Christopher

4605 Business Center Drive
Suite 300
Fairfield, CA 94534

Title CEO

Forney, John

4605 Business Center Drive
Suite 300
Fairfield, CA 94534

Title CFO

Sheekey, Brian

4605 Business Center Drive
Suite 300
Fairfield, CA 94534

Title VP, CUO

Basoz, Nesrin

4605 Business Center Drive
Suite 300
Fairfield, CA 94534

Annual Reports

Report Year	Filed Date
2024	03/26/2024

Document Images

03/26/2024 -- ANNUAL REPORT

06/01/2023 -- Foreign Profit