0001848584-21-000002.txt : 20211229 0001848584-21-000002.hdr.sgml : 20211229 20211228212421 ACCESSION NUMBER: 0001848584-21-000002 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20211229 DATE AS OF CHANGE: 20211228 EFFECTIVENESS DATE: 20211229 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: 021-427015 FILM NUMBER: 211526023 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 2021-12-17 false true false 25000 6000000 900000 5100000 false 13 0 0 0 false Fortress Wildfire Insurance Group, LLC Michael Ashker Michael Ashker Executive Chairman 2021-12-27