0001730395-23-000002.txt : 20231016 0001730395-23-000002.hdr.sgml : 20231016 20231016124922 ACCESSION NUMBER: 0001730395-23-000002 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20231016 DATE AS OF CHANGE: 20231016 EFFECTIVENESS DATE: 20231016 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: 021-494806 FILM NUMBER: 231326932 BUSINESS ADDRESS: STREET 1: 101 W CHESAPEAKE AVE STREET 2: PO BOX 10635 CITY: TOWSON STATE: MD ZIP: 21285 BUSINESS PHONE: 410-837-3022 MAIL ADDRESS: STREET 1: 101 W CHESAPEAKE AVE STREET 2: PO BOX 10635 CITY: TOWSON STATE: MD ZIP: 21285 D 1 primary_doc.xml X0708 D LIVE 0001730395 LIFEMARK REINSURANCE Co 101 W CHESAPEAKE AVE TOWSON MD MARYLAND 21285 410-837-3022 DELAWARE None None Corporation true WILLIAM, JR. J SHELOW 101 W CHESAPEAKE AVE PO BOX 10635 TOWSON MD MARYLAND 21285 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 30000000 0 30000000 false 0 0 0 0 false LIFEMARK REINSURANCE Co WILLIAM J. SHELOW, JR. WILLIAM J. SHELOW, JR. CHAIRMAN & CEO 2023-10-16