0000897069-16-000682.txt : 20160209 0000897069-16-000682.hdr.sgml : 20160209 20160209155053 ACCESSION NUMBER: 0000897069-16-000682 CONFORMED SUBMISSION TYPE: D/A PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20160209 DATE AS OF CHANGE: 20160209 EFFECTIVENESS DATE: 20160209 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Excalibur National Holdings, Inc. CENTRAL INDEX KEY: 0001629712 IRS NUMBER: 463997231 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D/A SEC ACT: 1933 Act SEC FILE NUMBER: 021-233766 FILM NUMBER: 161399527 BUSINESS ADDRESS: STREET 1: 227 ERLANGER AVENUE CITY: SLIDELL STATE: LA ZIP: 70458 BUSINESS PHONE: (985) 781-1444 MAIL ADDRESS: STREET 1: 227 ERLANGER AVENUE CITY: SLIDELL STATE: LA ZIP: 70458 D/A 1 primary_doc.xml X0707 D/A LIVE 0001629712 Excalibur National Holdings, Inc. 227 ERLANGER AVENUE SLIDELL LA LOUISIANA 70458 (985) 781-1444 DELAWARE None None Corporation true 2014 John W. Peters 227 Erlanger Avenue Slidell LA LOUISIANA 70458 Executive Officer Director Promoter Dennis P. Neyland 227 Erlanger Avenue Slidell LA LOUISIANA 70458 Executive Officer Director Promoter Lyle Mouton 227 Erlanger Avenue Slidell LA LOUISIANA 70458 Executive Officer Director Promoter Jeffrey Pollick 227 Erlanger Avenue Slidell LA LOUISIANA 70458 Executive Officer Director Promoter Richard Funk c/o Excalibur National Holdings, Inc. 227 Erlanger Avenue Slidell LA LOUISIANA 70458 Director Insurance Decline to Disclose 06b true 0000897069-15-000492 true true true true true false 100000 20000000 0 20000000 false 0 0 0 0 false Excalibur National Holdings, Inc. Jeffrey Pollick Jeffrey Pollick President and Chief Executive Officer 2016-02-08