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EXCELSIOR INSURANCE BROKERAGE, INC.

Company Details

Name: EXCELSIOR INSURANCE BROKERAGE, INC.
Jurisdiction: Idaho
Legal type: Foreign Business Corporation
Status: Active-Good Standing
Date of registration: 28 Jun 2016 (9 years ago)
Financial Date End: 30 Jun 2025
Entity Number: 628008
Place of Formation: DELAWARE
File Number: 628008
Principal Address: 23505 SMITHTOWN RD STE 200 EXCELSIOR, MN 55331
Mailing Address: 9151 BOULEVARD 26 NORTH RICHLAND HILLS, TX 76180-5600

Agent

Name Role Address
C T CORPORATION SYSTEM Agent 1555 W SHORELINE DR, STE 100, BOISE, ID 83702

Director

Name Role Address Appointed On Resigned On
James Mark Gabriel Director 2020 INNOVATION COURT, DE PERE, WI 54115 2021-06-17 2023-05-29
Ahmad Isam Ansari Director 9151 BOULEVARD 26, NORTH RICHLAND HILLS, TX 76180-5600 2024-05-22 No data
Thomas John Nicol Director 9151 BOULEVARD 26, NORTH RICHLAND HILLS, TX 76180-5600 2023-05-29 No data

Vice President

Name Role Address Appointed On
Taryn Sarah Risucci Vice President 9151 BOULEVARD 26, NORTH RICHLAND HILLS, TX 76180-5600 2024-05-22
Daniel Scott Garrison Vice President 9151 BOULEVARD 26, NORTH RICHLAND HILLS, TX 76180-5600 2024-05-22
Ahmad Isam Ansari Vice President 9151 BOULEVARD 26, NORTH RICHLAND HILLS, TX 76180-5600 2024-05-22

Secretary

Name Role Address Appointed On
Jennifer Lundgren Lewis-David Secretary 9151 BOULEVARD 26, NORTH RICHLAND HILLS, TX 76180-5600 2024-05-22

Treasurer

Name Role Address Appointed On
Peter Marshall Gill Treasurer 9151 BOULEVARD 26, NORTH RICHLAND HILLS, TX 76180-5600 2024-05-22

President

Name Role Address Appointed On
Thomas John Nicol President 9151 BOULEVARD 26, NORTH RICHLAND HILLS, TX 76180-5600 2024-05-22

Filing

Filing Name Filing Number Filing date
Annual Report 0005744943 2024-05-22
Annual Report 0005252888 2023-05-29
Registered Agent Name/Address Change (mass change) 0004900559 2022-09-12
Annual Report 0004765883 2022-06-03
Annual Report 0004319366 2021-06-17
Annual Report 0003902468 2020-06-06
Annual Report 0003518651 2019-05-21
Annual Report 0003298162 2018-05-30
Annual Report 0003298161 2017-05-04
Initial Filing 0000628008 2016-06-28

Date of last update: 29 Dec 2024

Sources: Idaho Secretary of State