0001730395-21-000002.txt : 20210802 0001730395-21-000002.hdr.sgml : 20210802 20210802122418 ACCESSION NUMBER: 0001730395-21-000002 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20210802 DATE AS OF CHANGE: 20210802 EFFECTIVENESS DATE: 20210802 FILER: COMPANY DATA: COMPANY CONFORMED NAME: LIFEMARK REINSURANCE Co CENTRAL INDEX KEY: 0001730395 IRS NUMBER: 823429550 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-408451 FILM NUMBER: 211135303 BUSINESS ADDRESS: STREET 1: 1306 CONCOURSE DR, STE 350 CITY: LINTHICUM HEIGHTS STATE: MD ZIP: 21090 BUSINESS PHONE: 410-837-3022 MAIL ADDRESS: STREET 1: 1306 CONCOURSE DR, STE 350 CITY: LINTHICUM HEIGHTS STATE: MD ZIP: 21090 D 1 primary_doc.xml X0708 D LIVE 0001730395 LIFEMARK REINSURANCE Co 1306 CONCOURSE DR, STE 350 LINTHICUM HEIGHTS MD MARYLAND 21090 410-837-3022 DELAWARE None None Corporation true 2017 WILLIAM, JR. J SHELOW 1306 CONCOURSE DR, STE 350 LINTHICUM HEIGHTS MD MARYLAND 21090 Executive Officer Director GEORGE, IV C VAN DUSEN DIVERSIFIED BROKERAGE SERVICES 5501 EXCELSIOR BLVD MINNEAPOLIS MN MINNESOTA 55416 Executive Officer Director LEON E HUFFMAN 350 OLOLU AVENUE WINTER PARK FL FLORIDA 328789 Executive Officer Director DONALD W BRITTON TRIANGLE SOLUTIONS 133 GAZEBO CT WILMINGTON NC NORTH CAROLINA 28409 Director THOMAS J HORNUNG INSURANCE OFFICE OF AMERICA 900 PHILADELPHIA PIKE WILMINGTON DE DELAWARE 19809 Director ALAN GRAD AMERICAN BUSINESS 45 WEST 45TH ST, 15TH FLOOR NEW YORK NY NEW YORK 10036 Director SEIXAS III G MILNER THE MILNER GROUP 833 HURRICANE SHOALS RD NE LAWRENCEVILLE GA GEORGIA 30043 Director Insurance Decline to Disclose 06b false true false true false 2500 15000000 0 15000000 false 0 0 0 0 false LIFEMARK REINSURANCE Co WILLIAM J. SHELOW, JR. WILLIAM J. SHELOW, JR. CHAIRMAN & CEO 2021-08-02