0001719979-17-000001.txt : 20171018 0001719979-17-000001.hdr.sgml : 20171018 20171017191132 ACCESSION NUMBER: 0001719979-17-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06c FILED AS OF DATE: 20171018 DATE AS OF CHANGE: 20171017 EFFECTIVENESS DATE: 20171018 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Air Centurion Insurance Services, Inc. CENTRAL INDEX KEY: 0001719979 IRS NUMBER: 812375645 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-296917 FILM NUMBER: 171141600 BUSINESS ADDRESS: STREET 1: 136 W. CANON PERDIDO ST. CITY: SANTA BARBARA STATE: CA ZIP: 93101 BUSINESS PHONE: 805-966-2440 MAIL ADDRESS: STREET 1: 136 W. CANON PERDIDO ST. CITY: SANTA BARBARA STATE: CA ZIP: 93101 D 1 primary_doc.xml X0708 D LIVE 0001719979 Air Centurion Insurance Services, Inc. 136 W. CANON PERDIDO ST. SANTA BARBARA CA CALIFORNIA 93101 805-966-2440 DELAWARE None None Corporation true 2017 Jason Niemela 136 W. CANON PERDIDO ST. Santa Barbara CA CALIFORNIA 93101 Executive Officer Director Chief Executive Officer, Secretary, Chief Financial Officer Tom Oostra 136 W. CANON PERDIDO ST. Santa Barbara CA CALIFORNIA 93101 Director Other Not Applicable 06c false 2017-09-27 true true true Series A Preferred Stock false 0 600000 600000 0 false 1 0 0 0 false Air Centurion Insurance Services, Inc. /s/ Jason Niemela Jason Niemela CEO 2017-10-17