0000897069-17-000143.txt : 20170228 0000897069-17-000143.hdr.sgml : 20170228 20170228105342 ACCESSION NUMBER: 0000897069-17-000143 CONFORMED SUBMISSION TYPE: D/A PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20170228 DATE AS OF CHANGE: 20170228 EFFECTIVENESS DATE: 20170228 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: 17645282 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 Dennis P. Neyland 227 Erlanger Avenue Slidell LA LOUISIANA 70458 Executive Officer Director Promoter Jeffrey Pollick 227 Erlanger Avenue Slidell LA LOUISIANA 70458 Executive Officer Director Promoter Antonio Scognamiglio c/o Excalibur National Holdings, Inc. 227 Erlanger Avenue Slidell LA LOUISIANA 70458 Executive Officer Director Jody Schwahn c/o Excalibur National Holdings, Inc. 227 Erlanger Avenue Slidell LA LOUISIANA 70458 Director Charles Hart c/o Excalibur National Holdings, Inc. 227 Erlanger Avenue Slidell LA LOUISIANA 70458 Director William Psaltis c/o Excalibur National Holdings, Inc. 227 Erlanger Avenue Slidell LA LOUISIANA 70458 Director Norman Urich c/o Excalibur National Holdings, Inc. 227 Erlanger Avenue Slidell LA LOUISIANA 70458 Director Insurance Decline to Disclose 06b true 0000897069-16-000682 2016-03-21 true true true true false 100000 8000000 7795000 205000 false 46 0 0 0 false Excalibur National Holdings, Inc. Jeffrey Pollick Jeffrey Pollick President and Chief Executive Officer 2017-02-28