0001651072-15-000001.txt : 20150831 0001651072-15-000001.hdr.sgml : 20150831 20150831114902 ACCESSION NUMBER: 0001651072-15-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20150831 DATE AS OF CHANGE: 20150831 EFFECTIVENESS DATE: 20150831 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Bluestone Life Insurance Co CENTRAL INDEX KEY: 0001651072 IRS NUMBER: 474735789 STATE OF INCORPORATION: VT FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-246696 FILM NUMBER: 151084021 BUSINESS ADDRESS: STREET 1: 654 GRANGER ROAD CITY: BERLIN STATE: VT ZIP: 05602 BUSINESS PHONE: 802-595-2014 MAIL ADDRESS: STREET 1: 654 GRANGER ROAD CITY: BERLIN STATE: VT ZIP: 05602 D 1 primary_doc.xml X0707 D LIVE 0001651072 Bluestone Life Insurance Co 654 GRANGER ROAD BERLIN VT VERMONT 05602 802-595-2014 VERMONT None None Corporation true 2015 Nathan Irons c/o Bluestone Life Insurance Company 654 Granger Road Berlin VT VERMONT 05602 Executive Officer Director Andrew Cosgrove c/o Bluestone Life Insurance Company 654 Granger Road Berlin VT VERMONT 05602 Executive Officer Director Brody N. Gilbert c/o Bluestone Life Insurance Company 654 Granger Road Berlin VT VERMONT 05602 Executive Officer Eric Phaneuf c/o Bluestone Life Insurance Company 654 Granger Road Berlin VT VERMONT 05602 Director Insurance Decline to Disclose 06b false 2015-08-27 false true false 10000 1500000 400000 1100000 false 4 0 0 350000 true Up to $350,000 may be used to meet salary obligations to officers, in the next 12 months. false Bluestone Life Insurance Co Nathan Irons Nathan Irons CEO, President 2015-08-31