0001973491-23-000001.txt : 20230413 0001973491-23-000001.hdr.sgml : 20230413 20230413123754 ACCESSION NUMBER: 0001973491-23-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20230413 DATE AS OF CHANGE: 20230413 EFFECTIVENESS DATE: 20230413 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Carbon Insurance Inc. CENTRAL INDEX KEY: 0001973491 IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-478745 FILM NUMBER: 23817730 BUSINESS ADDRESS: STREET 1: 1389 CENTER DRIVE, SUITE 200 CITY: PARK CITY STATE: UT ZIP: 84098 BUSINESS PHONE: (435) 200-3222 MAIL ADDRESS: STREET 1: 1389 CENTER DRIVE, SUITE 200 CITY: PARK CITY STATE: UT ZIP: 84098 D 1 primary_doc.xml X0708 D LIVE 0001973491 Carbon Insurance Inc. 1389 CENTER DRIVE, SUITE 200 PARK CITY UT UTAH 84098 (435) 200-3222 DELAWARE None None Corporation true 2022 James Hall c/o Carbon Insurance Inc. 1389 Center Drive, Suite 200 Park City UT UTAH 84098 Executive Officer Director Promoter Mungo Wilson c/o Carbon Insurance Inc. 1389 Center Drive, Suite 200 Park City UT UTAH 84098 Director Fleur Heynes c/o Carbon Insurance Inc. 1389 Center Drive, Suite 200 Park City UT UTAH 84098 Director Chris Slater c/o Carbon Insurance Inc. 1389 Center Drive, Suite 200 Park City UT UTAH 84098 Executive Officer Director Adrian Hummel c/o Carbon Insurance Inc. 1389 Center Drive, Suite 200 Park City UT UTAH 84098 Executive Officer Other Technology Decline to Disclose 06b false 2023-02-03 false true false 0 7000000 7000000 0 false 27 0 0 0 false Carbon Insurance Inc. /s/ James Hall James Hall President 2023-04-11