0001144204-14-051280.txt : 20140819 0001144204-14-051280.hdr.sgml : 20140819 20140819135632 ACCESSION NUMBER: 0001144204-14-051280 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20140819 DATE AS OF CHANGE: 20140819 EFFECTIVENESS DATE: 20140819 FILER: COMPANY DATA: COMPANY CONFORMED NAME: SIMPLE INSURANCE, LLC CENTRAL INDEX KEY: 0001584861 IRS NUMBER: 462773070 STATE OF INCORPORATION: NE FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-223243 FILM NUMBER: 141051555 BUSINESS ADDRESS: STREET 1: 14680 WEST DODGE ROAD, STREET 2: SUITE 2 CITY: OMAHA STATE: NE ZIP: 68154 BUSINESS PHONE: 4025057195 MAIL ADDRESS: STREET 1: 14680 WEST DODGE ROAD, STREET 2: SUITE 2 CITY: OMAHA STATE: NE ZIP: 68154 D 1 primary_doc.xml X0707 D LIVE 0001584861 SIMPLE INSURANCE, LLC 14680 WEST DODGE ROAD, SUITE 2 OMAHA NE NEBRASKA 68154 4025057195 NEBRASKA None None Limited Liability Company true 2013 William E. Fisher 14680 West Dodge Road, Suite 2 Omaha NE NEBRASKA 68154 Executive Officer Gordon D. Whitten Jr. 14680 West Dodge Road, Suite 2 Omaha NE NEBRASKA 68154 Executive Officer Robert F. Swartzbaugh 14680 West Dodge Road, Suite 2 Omaha NE NEBRASKA 68154 Executive Officer Zachary Andrew Harris 14680 West Dodge Road, Suite 2 Omaha NE NEBRASKA 68154 Executive Officer Other Decline to Disclose 06b false 2014-08-13 false true false 5000 500000 500000 0 false 16 0 0 0 false SIMPLE INSURANCE, LLC /s/ Gordon D. Whitten Jr. Gordon D. Whitten Jr. Manager 2014-08-18