0001412101-15-000001.txt : 20151211 0001412101-15-000001.hdr.sgml : 20151211 20151210174105 ACCESSION NUMBER: 0001412101-15-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20151211 DATE AS OF CHANGE: 20151210 EFFECTIVENESS DATE: 20151211 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Higginbotham Insurance Agency, Inc. CENTRAL INDEX KEY: 0001412101 IRS NUMBER: 000000000 STATE OF INCORPORATION: TX FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-252840 FILM NUMBER: 151281699 BUSINESS ADDRESS: STREET 1: 500 W. 13TH STREET CITY: Fort Worth STATE: TX ZIP: 76102 BUSINESS PHONE: 817-347-7040 MAIL ADDRESS: STREET 1: 500 W. 13TH STREET CITY: Fort Worth STATE: TX ZIP: 76102 FORMER COMPANY: FORMER CONFORMED NAME: Higginbotham Insurance Agency Inc DATE OF NAME CHANGE: 20070911 D 1 primary_doc.xml X0707 D LIVE 0001412101 Higginbotham Insurance Agency, Inc. 500 W. 13TH STREET Fort Worth TX TEXAS 76102 817-347-7040 TEXAS Higginbotham Insurance Agency Inc Corporation true James R. Reid 500 West 13th Street Fort Worth TX TEXAS 76102 Executive Officer Director James A. Krause 500 West 13th Street Fort Worth TX TEXAS 76102 Executive Officer Director Anthony J. Haas 500 West 13th Street Fort Worth TX TEXAS 76102 Executive Officer Insurance Decline to Disclose 06b false 2015-11-30 false true false 65000 50000000 50000000 0 false 16 0 0 3194780 Proceeds used in part, to fund payments to employees in connection with payout related to awards under equity incentive plan. false Higginbotham Insurance Agency, Inc. /s/ James A. Krause James A. Krause Chief Financial Officer 2015-12-10