0001412101-16-000002.txt : 20161208 0001412101-16-000002.hdr.sgml : 20161208 20161208112312 ACCESSION NUMBER: 0001412101-16-000002 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20161208 DATE AS OF CHANGE: 20161208 EFFECTIVENESS DATE: 20161208 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: 021-275885 FILM NUMBER: 162040718 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 Director Anthony J. Haas 500 West 13th Street Fort Worth TX TEXAS 76102 Executive Officer Insurance Decline to Disclose 06b false 2016-11-30 false true false 101247 8000000 8000000 0 false 4 0 0 550000 true Proceeds used, in part, to fund payments to certain employees under bonus plan. false Higginbotham Insurance Agency, Inc. /s/ James A. Krause James A. Krause Chief Financial Officer 2016-12-08