0000950172-18-000120.txt : 20181211 0000950172-18-000120.hdr.sgml : 20181211 20181211161026 ACCESSION NUMBER: 0000950172-18-000120 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20181211 DATE AS OF CHANGE: 20181211 EFFECTIVENESS DATE: 20181211 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Evergreen Parent GP, LLC CENTRAL INDEX KEY: 0001759917 IRS NUMBER: 830518355 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-327639 FILM NUMBER: 181228886 BUSINESS ADDRESS: STREET 1: C/O AMTRUST FINANCIAL SERVICES, INC. STREET 2: 59 MAIDEN LANE, 43RD FLOOR CITY: NEW YORK STATE: NY ZIP: 10038 BUSINESS PHONE: (212) 220-7120 MAIL ADDRESS: STREET 1: C/O AMTRUST FINANCIAL SERVICES, INC. STREET 2: 59 MAIDEN LANE, 43RD FLOOR CITY: NEW YORK STATE: NY ZIP: 10038 D 1 primary_doc.xml X0708 D LIVE 0001759917 Evergreen Parent GP, LLC C/O AMTRUST FINANCIAL SERVICES, INC. 59 MAIDEN LANE, 43RD FLOOR NEW YORK NY NEW YORK 10038 (212) 220-7120 DELAWARE None None Limited Liability Company true 2018 Barry D. Zyskind c/o AmTrust FInancial Services, Inc. 59 Maiden Lane, 43rd Floor New York NY NEW YORK 10038 Executive Officer Director Chief Executive Officer George Karfunkel c/o AmTrust Financial Services, Inc. 59 Maiden Lane, 43rd Floor New York NY NEW YORK 10038 Director Leah Karfunkel c/o AmTrust Financial Services, Inc. 59 Maiden Lane, 43rd Floor New York NY NEW YORK 10038 Director David Wermuth c/o AmTrust Financial Services, Inc. 59 Maiden Lane, 43rd Floor New York NY NEW YORK 10038 Director Nicolas Zerbib c/o AmTrust Financial Services, Inc. 59 Maiden Lane, 43rd Floor New York NY NEW YORK 10038 Director Adam Karkowsky c/o AmTrust Financial Services, Inc. 59 Maiden Lane, 43rd Floor New York NY NEW YORK 10038 Executive Officer Chief Financial Officer Insurance Decline to Disclose 06b false 2018-11-29 true true true 0 Indefinite 0 Indefinite false 43 0 0 0 false Evergreen Parent GP, LLC /s/ Barry D. Zyskind Barry D. Zyskind Chief Executive Officer 2018-12-03