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VANTIS LIFE INSURANCE COMPANY

Headquarter

Company Details

Entity Name: VANTIS LIFE INSURANCE COMPANY
Jurisdiction: Connecticut
Legal type: Special Chartered
Citizenship: Domestic
Status: Domesticated
Date Formed: 19 Jun 1963
Business ALEI: 0125925
Place of Formation: CONNECTICUT
Total authorized shares: 100

Links between entities

Type Company Name Company Number State
Headquarter of VANTIS LIFE INSURANCE COMPANY, FLORIDA F01000004098 FLORIDA

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
VANTIS LIFE INSURANCE COMPANY CASH OR DEFERRED PROFIT SHARING PLAN 2020 060523876 2021-09-14 VANTIS LIFE INSURANCE COMPANY 95
Three-digit plan number (PN) 002
Effective date of plan 1985-01-01
Business code 524140
Sponsor’s telephone number 8602986007
Plan sponsor’s address 200 DAY HILL RD, WINDSOR, CT, 060951779

Signature of

Role Plan administrator
Date 2021-09-14
Name of individual signing GAIL LATAILLE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-09-14
Name of individual signing GAIL LATAILLE
Valid signature Filed with authorized/valid electronic signature
VANTIS LIFE INSURANCE COMPANY CASH OR DEFERRED PROFIT SHARING PLAN 2020 060523876 2021-10-07 VANTIS LIFE INSURANCE COMPANY 95
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1985-01-01
Business code 524140
Sponsor’s telephone number 8602986007
Plan sponsor’s address 200 DAY HILL RD, WINDSOR, CT, 060951779

Signature of

Role Plan administrator
Date 2021-10-07
Name of individual signing GAIL LATAILLE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2021-10-07
Name of individual signing GAIL LATAILLE
Valid signature Filed with authorized/valid electronic signature
VANTIS LIFE INSURANCE COMPANY CASH OR DEFERRED PRO 2019 060523876 2020-09-24 VANTIS LIFE INSURANCE COMPANY 103
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1985-01-01
Business code 524140
Sponsor’s telephone number 8602986004
Plan sponsor’s address 200 DAY HILL RD, WINDSOR, CT, 060951779

Signature of

Role Plan administrator
Date 2020-09-24
Name of individual signing GAIL LATAILLE
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2020-09-24
Name of individual signing GAIL LATAILLE
Valid signature Filed with authorized/valid electronic signature
VANTIS LIFE INSURANCE COMPANY CASH OR DEFERRED PROFIT SHARING PLAN 2018 060523876 2019-07-24 VANTIS LIFE INSURANCE COMPANY 102
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1985-01-01
Business code 524140
Sponsor’s telephone number 8602986007
Plan sponsor’s address 200 DAY HILL RD, WINDSOR, CT, 060951779

Signature of

Role Plan administrator
Date 2019-07-24
Name of individual signing GREG ROTO
Valid signature Filed with authorized/valid electronic signature
VANTIS LIFE INSURANCE COMPANY CASH OR DEFERRED PROFIT SHARING PLAN 2017 060523876 2018-06-26 VANTIS LIFE INSURANCE COMPANY 101
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1985-01-01
Business code 524140
Sponsor’s telephone number 8602986007
Plan sponsor’s address 200 DAY HILL RD, WINDSOR, CT, 060951779

Signature of

Role Plan administrator
Date 2018-06-26
Name of individual signing GREGORY ROTO
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2018-06-26
Name of individual signing GREGORY ROTO
Valid signature Filed with authorized/valid electronic signature
VANTIS LIFE INSURANCE COMPANY CASH OR DEFERRED PROFIT SHARING PLAN 2016 060523876 2017-07-05 VANTIS LIFE INSURANCE COMPANY 104
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1985-01-01
Business code 524140
Sponsor’s telephone number 8602986007
Plan sponsor’s address 200 DAY HILL RD, WINDSOR, CT, 060951779

Signature of

Role Plan administrator
Date 2017-07-05
Name of individual signing GREGORY ROTO
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2017-07-05
Name of individual signing GREGORY ROTO
Valid signature Filed with incorrect/unrecognized electronic signature
VANTIS LIFE INSURANCE COMPANY CASH OR DEFERRED PROFIT SHARING PLAN 2015 060523876 2016-07-08 VANTIS LIFE INSURANCE COMPANY 100
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1985-01-01
Business code 524140
Sponsor’s telephone number 8602986007
Plan sponsor’s address 200 DAY HILL RD, WINDSOR, CT, 060951779

Signature of

Role Plan administrator
Date 2016-07-08
Name of individual signing GREGORY ROTO
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2016-07-08
Name of individual signing GREGORY ROTO
Valid signature Filed with authorized/valid electronic signature
VANTISLIFE INSURANCE COMPANY CASH OR DEFERRED PROFIT SHARING 2014 060523876 2015-07-24 VANTIS LIFE INSURANCE COMPANY 101
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1985-01-01
Business code 524140
Sponsor’s telephone number 8602986007
Plan sponsor’s address 200 DAY HILL RD, WINDSOR, CT, 060951779

Plan administrator’s name and address

Administrator’s EIN 060523876
Plan administrator’s name VANTIS LIFE INSURANCE COMPANY
Plan administrator’s address 200 DAY HILL RD, WINDSOR, CT, 060951779
Administrator’s telephone number 8602986007

Signature of

Role Plan administrator
Date 2015-07-24
Name of individual signing GREGORY ROTO
Valid signature Filed with authorized/valid electronic signature
VANTISLIFE INSURANCE COMPANY CASH OR DEFERRED PROFIT SHARING 2013 060523876 2014-07-24 VANTIS LIFE INSURANCE COMPANY 100
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1985-01-01
Business code 524140
Sponsor’s telephone number 8602986007
Plan sponsor’s address 200 DAY HILL RD, WINDSOR, CT, 060951779

Plan administrator’s name and address

Administrator’s EIN 060523876
Plan administrator’s name VANTIS LIFE INSURANCE COMPANY
Plan administrator’s address 200 DAY HILL RD, WINDSOR, CT, 060951779
Administrator’s telephone number 8602986007

Signature of

Role Plan administrator
Date 2014-07-24
Name of individual signing GREGORY ROTO
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-07-24
Name of individual signing GREGORY ROTO
Valid signature Filed with authorized/valid electronic signature
VANTISLIFE INSURANCE COMPANY CASH OR DEFERRED PROFIT SHARING 2012 060523876 2013-05-17 VANTIS LIFE INSURANCE COMPANY 98
File View Page
Three-digit plan number (PN) 002
Effective date of plan 1985-01-01
Business code 524140
Sponsor’s telephone number 8602986007
Plan sponsor’s address 200 DAY HILL RD, WINDSOR, CT, 060951779

Plan administrator’s name and address

Administrator’s EIN 060523876
Plan administrator’s name VANTIS LIFE INSURANCE COMPANY
Plan administrator’s address 200 DAY HILL RD, WINDSOR, CT, 060951779
Administrator’s telephone number 8602986007

Signature of

Role Plan administrator
Date 2013-05-17
Name of individual signing GREGORY ROTO
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2013-05-17
Name of individual signing GREGORY ROTO
Valid signature Filed with authorized/valid electronic signature

History

Type Old value New value Date of change
Name change VANTISLIFE INSURANCE COMPANY VANTIS LIFE INSURANCE COMPANY 2010-04-01
Name change SAVINGS BANK LIFE INSURANCE COMPANY, THE VANTISLIFE INSURANCE COMPANY 2002-05-09

Filing

Filing number Filing date Effective date Filing category Filing type Report year
BF-0013238595 2024-11-29 2024-11-29 Domestication Certificate of Domestication No data
BF-0010417434 2022-01-05 2022-01-05 Amendment Certificate of Amendment No data
0006709564 2019-12-30 2019-12-30 Amendment Amend No data
0005827574 2017-04-26 2017-04-26 Amendment Restated No data
0005726648 2016-12-29 2016-12-31 Merger Certificate of Merger No data
0004135850 2010-04-01 2010-04-01 Amendment Amend Name No data
0003006663 2005-10-06 2005-10-06 Amendment Amend Share No data
0002819862 2004-10-27 2004-10-27 Amendment Amend No data
0002651894 2003-12-17 2003-12-17 Amendment Amend No data
0002610836 2003-09-11 2003-09-11 Amendment Amend No data

Date of last update: 06 Jan 2025

Sources: Connecticut's Official State Website