0001651072-16-000002.txt : 20160325 0001651072-16-000002.hdr.sgml : 20160325 20160325140255 ACCESSION NUMBER: 0001651072-16-000002 CONFORMED SUBMISSION TYPE: D/A PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20160325 DATE AS OF CHANGE: 20160325 EFFECTIVENESS DATE: 20160325 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/A SEC ACT: 1933 Act SEC FILE NUMBER: 021-246696 FILM NUMBER: 161529370 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/A 1 primary_doc.xml X0707 D/A LIVE 0001651072 Bluestone Life Insurance Co 654 GRANGER ROAD Suite 5 BERLIN VT VERMONT 05641 802-595-0272 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 Eric Phaneuf c/o Bluestone Life Insurance Company 654 Granger Road Berlin VT VERMONT 05602 Director Insurance Decline to Disclose 06b true 0001651072-15-000001 2015-08-27 false true false 10000 1850000 1850000 0 false 19 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 /s/ Nathan Irons Nathan Irons CEO, President 2016-03-25