0001777790-21-000004.txt : 20211130 0001777790-21-000004.hdr.sgml : 20211130 20211130133036 ACCESSION NUMBER: 0001777790-21-000004 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20211130 DATE AS OF CHANGE: 20211130 EFFECTIVENESS DATE: 20211130 FILER: COMPANY DATA: COMPANY CONFORMED NAME: AQ Sunshine Parent, LLC CENTRAL INDEX KEY: 0001777790 IRS NUMBER: 833812367 STATE OF INCORPORATION: DE FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-422874 FILM NUMBER: 211459038 BUSINESS ADDRESS: STREET 1: C/O AQUILINE CAPITAL PARTNERS LLC STREET 2: 535 MADISON AVENUE, 24TH FLOOR CITY: NEW YORK STATE: NY ZIP: 10022 BUSINESS PHONE: 212-624-9500 MAIL ADDRESS: STREET 1: C/O AQUILINE CAPITAL PARTNERS LLC STREET 2: 535 MADISON AVENUE, 24TH FLOOR CITY: NEW YORK STATE: NY ZIP: 10022 D 1 primary_doc.xml X0708 D LIVE 0001777790 AQ Sunshine Parent, LLC C/O AQUILINE CAPITAL PARTNERS LLC 535 MADISON AVENUE, 24TH FLOOR NEW YORK NY NEW YORK 10022 212-624-9500 DELAWARE None None Limited Liability Company true 2019 Geoffrey O Kalish C/O AQUILINE CAPITAL PARTNERS LLC 535 MADISON AVENUE, 24TH FLOOR New York NY NEW YORK 10022 Executive Officer Secretary and Treasurer Jeffrey W Greenberg C/O AQUILINE CAPITAL PARTNERS LLC 535 MADISON AVENUE, 24TH FLOOR New York NY NEW YORK 10022 Executive Officer Director Executive VP and Director Joseph L Tatum, Jr. c/o Relation Insurance Services 1277 Treat Boulevard, Suite 400 Walnut Creek CA CALIFORNIA 94597 Executive Officer Director CEO, Executive VP, Assistant Secretary and Director Edward Nathan Page c/o Relation Insurance Services 1277 Treat Boulevard, Suite 400 Walnut Creek CA CALIFORNIA 94597 Executive Officer Director President and Director Jaryd Solomon C/O AQUILINE CAPITAL PARTNERS LLC 535 MADISON AVENUE, 24TH FLOOR New York NY NEW YORK 10022 Director Director Christopher E Watson C/O AQUILINE CAPITAL PARTNERS LLC 535 MADISON AVENUE, 24TH FLOOR New York NY NEW YORK 10022 Director Director Daniel L Jones C/O AQUILINE CAPITAL PARTNERS LLC 535 MADISON AVENUE, 24TH FLOOR New York NY NEW YORK 10022 Director Director Michael C. Bush C/O AQUILINE CAPITAL PARTNERS LLC 535 MADISON AVENUE, 24TH FLOOR New York NY NEW YORK 10022 Director Director Neal R. Aton C/O AQUILINE CAPITAL PARTNERS LLC 55 MADISON AVENUE, 24TH FLOOR NEW YORK NY NEW YORK 10022 Director John Galaviz c/o Relation Insurance Services 1277 Treat Boulevard, Suite 400 Walnut Creek CA CALIFORNIA 94597 Executive Officer Chief Financial Officer Other Decline to Disclose 06b false true false true true In part, the offering is being made in connection with a business combination transaction. 0 Indefinite 0 Indefinite true 0 0 0 0 0 false AQ Sunshine Parent, LLC /s/ Joseph L. Tatum, Jr. Joseph L. Tatum, Jr. Chief Executive Officer 2021-11-30