0001848584-21-000001.txt : 20210302 0001848584-21-000001.hdr.sgml : 20210302 20210301202332 ACCESSION NUMBER: 0001848584-21-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20210302 DATE AS OF CHANGE: 20210301 EFFECTIVENESS DATE: 20210302 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Fortress Wildfire Insurance Group, LLC CENTRAL INDEX KEY: 0001848584 IRS NUMBER: 853741312 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-390890 FILM NUMBER: 21700714 BUSINESS ADDRESS: STREET 1: 4220 DULUTH AVENUE, SUITE A CITY: ROCKLIN STATE: CA ZIP: 95765 BUSINESS PHONE: 916-213-7381 MAIL ADDRESS: STREET 1: 4220 DULUTH AVENUE, SUITE A CITY: ROCKLIN STATE: CA ZIP: 95765 D 1 primary_doc.xml X0708 D LIVE 0001848584 Fortress Wildfire Insurance Group, LLC 4220 DULUTH AVENUE, SUITE A ROCKLIN CA CALIFORNIA 95765 916-213-7381 DELAWARE Fortress Wildfire Assurance Group, LLC None Limited Liability Company true 2020 Michael Ashker 4220 DULUTH AVENUE, SUITE A ROCKLIN CA CALIFORNIA 95765 Executive Officer Director Paul Scola 4220 DULUTH AVENUE, SUITE A ROCKLIN CA CALIFORNIA 95765 Executive Officer Director Robert Burnham 4220 DULUTH AVENUE, SUITE A ROCKLIN CA CALIFORNIA 95765 Director Insurance Decline to Disclose 06b false 2021-02-15 false true false 3875 69435 69435 0 false 12 0 0 0 false Fortress Wildfire Insurance Group, LLC Michael Ashker Michael Ashker Executive Chairman 2021-03-01