0001735349-20-000001.txt : 20200702 0001735349-20-000001.hdr.sgml : 20200702 20200702134625 ACCESSION NUMBER: 0001735349-20-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20200702 DATE AS OF CHANGE: 20200702 EFFECTIVENESS DATE: 20200702 FILER: COMPANY DATA: COMPANY CONFORMED NAME: DOXA Insurance Holdings LLC CENTRAL INDEX KEY: 0001735349 IRS NUMBER: 474868271 STATE OF INCORPORATION: IN FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-370153 FILM NUMBER: 201007900 BUSINESS ADDRESS: STREET 1: 1502 MAGNAVOX WAY, SUITE 250 CITY: FORT WAYNE STATE: IN ZIP: 46804 BUSINESS PHONE: 260-537-0091 MAIL ADDRESS: STREET 1: 1502 MAGNAVOX WAY, SUITE 250 CITY: FORT WAYNE STATE: IN ZIP: 46804 D 1 primary_doc.xml X0708 D LIVE 0001735349 DOXA Insurance Holdings LLC 1502 MAGNAVOX WAY SUITE 250 FORT WAYNE IN INDIANA 46804 260-537-0091 INDIANA None None Limited Liability Company true 2015 MATTHEW SACKETT 1502 MAGNAVOX WAY SUITE 250 FORT WAYNE IN INDIANA 46804 Executive Officer Director TIM WIGGINS 1502 MAGNAVOX WAY SUITE 250 FORT WAYNE IN INDIANA 46804 Executive Officer Director TOM ELLIS 1502 MAGNAVOX WAY SUITE 250 FORT WAYNE IN INDIANA 46804 Director GABE SHAHEEN 1502 MAGNAVOX WAY SUITE 250 FORT WAYNE IN INDIANA 46804 Director BILL VIT 1502 MAGNAVOX WAY SUITE 250 FORT WAYNE IN INDIANA 46804 Director KEVIN KOLAR 1502 MAGNAVOX WAY SUITE 250 FORT WAYNE IN INDIANA 46804 Director Insurance $5,000,001 - $25,000,000 06b false 2020-06-24 false true false 56250 5750000 56250 5693750 false 1 0 0 0 false DOXA Insurance Holdings LLC MATTHEW SACKETT MATTHEW SACKETT CHIEF EXECUTIVE OFFICER 2020-06-30