Form D
View Original Filing
Notice of Exempt Offering of Securities
Item 1. Issuer's Identity
Name of Issuer:
SUNSTONE ASSURANCE, LLC
Jurisdiction of Incorporation/Organization
DE
Year of Incorporation/Organization
2010
Entity Type
LIMITED LIABILITY COMPANY
Item 2 Issuer Principal Place of Business and Contact Information
SUITE 1414, NEMOURS BUILDING
1007 ORANGE STREET
WILMINGTON, DE 19801
Phone Number:
subscription required
Item 3. Related Persons
Name
DOUGLAS F. DEITCH
Address
subscription required
Relationship(s)
- EXECUTIVE OFFICER
- DIRECTOR
Clarification of Response
PRESIDENT AND DIRECTOR OF SUNSTONE HOLDINGS, INC., MANAGING MEMBER
Item 3. Related Persons
Name
ANDREW A. LEWIS
Address
subscription required
Relationship(s)
- EXECUTIVE OFFICER
- DIRECTOR
Clarification of Response
CHAIRMAN AND DIRECTOR OF SUNSTONE HOLDINGS, INC., MANAGING MEMBER
Item 3. Related Persons
Name
JOEL B. PINA
Address
subscription required
Relationship(s)
- EXECUTIVE OFFICER
- DIRECTOR
Clarification of Response
CHIEF FINANCIAL OFFICER AND DIRECTOR OF SUNSTONE HOLDINGS, INC., MANAGING MEMBER
Item 3. Related Persons
Name
JOHN T. NAUGHTON
Address
subscription required
Relationship(s)
- EXECUTIVE OFFICER
- DIRECTOR
Clarification of Response
VICE PRESIDENT AND DIRECTOR OF SUNSTONE HOLDINGS, INC., MANAGING MEMBER
Item 3. Related Persons
Name
JAY S. PEICHEL
Address
subscription required
Relationship(s)
- EXECUTIVE OFFICER
- DIRECTOR
Clarification of Response
VICE PRESIDENT AND DIRECTOR OF SUNSTONE HOLDINGS, INC., MANAGING MEMBER
Item 4. Industry Group
INSURANCE
Item 5. Issuer Size
Revenue Range (for issuer not specifying "hedge" or "other investment" fund in Item 4 above)
$1,000,001 - $5,000,000
Item 6. Federal Exemptions and Exclusions Claimed
Item 7. Type of Filing
New Notice
Date of First Sale in this Offering:
02/24/2012
Item 8. Duration of Offering
Does the issuer intend this offering to last more than one year?
No
Item 9. Type(s) of Securities Offered
Item 10. Business Combination Transaction
Is this offering being made in connection with a business combination
transaction, such as a merger, acquisition or exchange offer?
No
Clarification of Response
Item 11. Minimum Investment
Minimum Investment accepted from any outside investor
75000
Item 13. Offering and Sales Amounts
Total Offering Amount
75000
Total Amount Sold
75000
Total Remaining to be Sold
0
Clarification of Response
Item 14. Investors
Securities in the offering have been or may be sold to persons
who do not qualify as accredited investors,
Number of non-accredited investors who already have invested in the offering:
Total number of investors who already have invested in the offering:
1
Item 15. Sales Commissions and Finders' Fees Expenses
Sales Commissions:
0.0
Finders' Fees
0.0
Clarification of Response
Item 16. Use of Proceeds
Provide the amount of the gross proceeds of the offering
that has been or is proposed to be used for payments to any of the persons required
to be named as executive officers,directors or promoters in response to Item 3 above.
0.0
Clarification of Response
Signature and Submission
Issuer Name
SUNSTONE ASSURANCE, LLC
Issuer Signature
/S/ JOEL B. PINA
Signer Name
JOEL B. PINA
Signer Title
CFO OF SUNSTONE HOLDINGS, INC., ITS MANAGING MEMBER
Signature Date
03/21/2012