![Florida Division of Corporations](/Content/images/logo.png)
Detail by Entity Name
Foreign Profit Corporation
FASI INSURANCE SERVICES, INC.
Filing Information
F08000005298
20-1192781
12/15/2008
CA
INACTIVE
WITHDRAWAL
06/22/2023
NONE
Principal Address
Changed: 03/15/2022
655 W BROADWAY
11TH FL
SAN DIEGO, CA 92101
11TH FL
SAN DIEGO, CA 92101
Changed: 03/15/2022
Mailing Address
Changed: 03/15/2022
2301 ROSECRANS AVE
STE 5100
EL SEGUNDO, CA 90245
STE 5100
EL SEGUNDO, CA 90245
Changed: 03/15/2022
Registered Agent Name & Address
CORPORATION SERVICE COMPANY
Name Changed: 11/15/2018
Address Changed: 11/15/2018
1201 HAYS STREET
TALLAHASSEE, FL 32301-2525
TALLAHASSEE, FL 32301-2525
Name Changed: 11/15/2018
Address Changed: 11/15/2018
Officer/Director Detail
Name & Address
Title Officer
CHAFFIN, GARY
Title Director, President
HARRISON, BRETT
Title Director, VP
SMILEY, STANLEY
Title Director
TAYLOR, THOMAS
Title Treasurer
SHORES, KEITH
Title Secretary
GOK, LISA
Title VP
JOSEPH, NEARY
Title Asst. Secretary
DAVID, VAN HAVERMAAT
Title Officer
CHAFFIN, GARY
2301 ROSECRANS AVE
STE 5100
EL SEGUNDO, CA 90245
STE 5100
EL SEGUNDO, CA 90245
Title Director, President
HARRISON, BRETT
2301 ROSECRANS AVE
STE 5100
EL SEGUNDO, CA 90245
STE 5100
EL SEGUNDO, CA 90245
Title Director, VP
SMILEY, STANLEY
2301 ROSECRANS AVE
STE 5100
EL SEGUNDO, CA 90245
STE 5100
EL SEGUNDO, CA 90245
Title Director
TAYLOR, THOMAS
2301 ROSECRANS AVE
STE 5100
EL SEGUNDO, CA 90245
STE 5100
EL SEGUNDO, CA 90245
Title Treasurer
SHORES, KEITH
2301 ROSECRANS AVE
STE 5100
EL SEGUNDO, CA 90245
STE 5100
EL SEGUNDO, CA 90245
Title Secretary
GOK, LISA
2301 ROSECRANS AVE
STE 5100
EL SEGUNDO, CA 90245
STE 5100
EL SEGUNDO, CA 90245
Title VP
JOSEPH, NEARY
2301 ROSECRANS AVE
STE 5100
EL SEGUNDO, CA 90245
STE 5100
EL SEGUNDO, CA 90245
Title Asst. Secretary
DAVID, VAN HAVERMAAT
2301 ROSECRANS AVE
STE 5100
EL SEGUNDO, CA 90245
STE 5100
EL SEGUNDO, CA 90245
Annual Reports
Report Year | Filed Date |
2021 | 04/23/2021 |
2022 | 03/15/2022 |
2023 | 03/29/2023 |
Document Images