0001691084-16-000001.txt : 20161130 0001691084-16-000001.hdr.sgml : 20161130 20161130164627 ACCESSION NUMBER: 0001691084-16-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06c FILED AS OF DATE: 20161130 DATE AS OF CHANGE: 20161130 EFFECTIVENESS DATE: 20161130 FILER: COMPANY DATA: COMPANY CONFORMED NAME: SmartLife Insurance Holdings Company, LLC CENTRAL INDEX KEY: 0001691084 IRS NUMBER: 812275857 STATE OF INCORPORATION: NJ FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-275389 FILM NUMBER: 162025713 BUSINESS ADDRESS: STREET 1: 3851 BOARDWALK #908 CITY: ATLANTIC CITY STATE: NJ ZIP: 08401 BUSINESS PHONE: 609-385-5000 MAIL ADDRESS: STREET 1: 3851 BOARDWALK #908 CITY: ATLANTIC CITY STATE: NJ ZIP: 08401 D 1 primary_doc.xml X0707 D LIVE 0001691084 SmartLife Insurance Holdings Company, LLC 3851 BOARDWALK #908 ATLANTIC CITY NJ NEW JERSEY 08401 609-385-5000 NEW JERSEY None None Limited Liability Company true 2016 Joseph Cherry 3851 Boardwalk #908 Atlantic City NJ NEW JERSEY 08401 Executive Officer Paul Goguen 191 Lynx Drive Sedona AZ ARIZONA 86336 Director Insurance $1 - $1,000,000 06c false 2016-10-06 true true true false 500 100000000 849000 99151000 false 1 0 true 0 true 0 false SmartLife Insurance Holdings Company, LLC Joseph Cherry Joseph Cherry President 2016-11-30