-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, C7iF259zzuOqfNTHXQrSAbzTOYyq/U9ZOysfbvSQsQ1UDCuqSmpZfupksqeezihB FFPpstXapF8avY8SK5nONA== 0001441557-09-000049.txt : 20091228 0001441557-09-000049.hdr.sgml : 20091225 20091228115532 ACCESSION NUMBER: 0001441557-09-000049 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: Rule 506 ITEM INFORMATION: Securities Act Section 4(6) FILED AS OF DATE: 20091228 DATE AS OF CHANGE: 20091228 EFFECTIVENESS DATE: 20091228 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Utah Business Insurance, Inc. CENTRAL INDEX KEY: 0001479259 IRS NUMBER: 204451046 STATE OF INCORPORATION: UT FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-137206 FILM NUMBER: 091261146 BUSINESS ADDRESS: STREET 1: 10150 SOUTH CENTENNIAL PARKWAY STREET 2: SUITE 100 CITY: SANDY STATE: UT ZIP: 84070 BUSINESS PHONE: 801-830-4011 MAIL ADDRESS: STREET 1: 10150 SOUTH CENTENNIAL PARKWAY STREET 2: SUITE 100 CITY: SANDY STATE: UT ZIP: 84070 D 1 primary_doc.xml X0603 D LIVE 0001479259 Utah Business Insurance, Inc. 10150 SOUTH CENTENNIAL PARKWAY SUITE 100 SANDY UT 84070 801-830-4011 UTAH Utah Builders Insurance Company None Corporation true 2006 Ron Nielsen 10150 South Centennial Parkway Suite 100 Sandy UT 84070 Executive Officer Director Brad Simons 10150 South Centennial Parkway Suite 100 Sandy UT 84070 Director Steven Pfeiffer 10150 South Centennial Parkway Suite 100 Sandy UT 84070 Director Other $5,000,001 - $25,000,000 06 46 false 2009-12-20 false true false 2 235986 30272 205714 false 2 0 0 0 false Utah Business Insurance, Inc. /s/ Ron Nielsen Ron Nielsen President 2009-12-28 -----END PRIVACY-ENHANCED MESSAGE-----