0001786581-19-000001.txt : 20190827 0001786581-19-000001.hdr.sgml : 20190827 20190827152447 ACCESSION NUMBER: 0001786581-19-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b ITEM INFORMATION: 4a5 FILED AS OF DATE: 20190827 DATE AS OF CHANGE: 20190827 EFFECTIVENESS DATE: 20190827 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Great Bay Insurance Holding Company, LLC CENTRAL INDEX KEY: 0001786581 IRS NUMBER: 830673536 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-347471 FILM NUMBER: 191057105 BUSINESS ADDRESS: STREET 1: 8025 BLACK HORSE PIKE STREET 2: SUITE 400B CITY: WEST ATLANTIC CITY STATE: NJ ZIP: 08232 BUSINESS PHONE: 6094342000 MAIL ADDRESS: STREET 1: 8025 BLACK HORSE PIKE STREET 2: SUITE 400B CITY: WEST ATLANTIC CITY STATE: NJ ZIP: 08232 D 1 primary_doc.xml X0708 D LIVE 0001786581 Great Bay Insurance Holding Company, LLC 8025 BLACK HORSE PIKE SUITE 400B WEST ATLANTIC CITY NJ NEW JERSEY 08232 6094342000 DELAWARE None None Limited Liability Company true 2018 Timothy J Byrne SR 8025 Black Horse Pike Suite 400B West Atlantic City NJ NEW JERSEY 08232 Executive Officer Director Timothy J Byrne JR 8025 Black Horse Pike Suite 400B West Atlantic City NJ NEW JERSEY 08232 Executive Officer Director Mario J Vitiello 8025 Black Horse Pike Suite 400B West Atlantic City NJ NEW JERSEY 08232 Executive Officer Director Ronald Lovatt 8025 Black Horse Pike Suite 400B West Atlantic City NJ NEW JERSEY 08232 Executive Officer Director Thomas P. Byrne 8025 Black Horse Pike Suite 400B West Atlantic City NJ NEW JERSEY 08232 Director William F. Megna 8025 Black Horse Pike Suite 400B West Atlantic City NJ NEW JERSEY 08232 Director Insurance $1 - $1,000,000 06b 4a5 false 2019-08-16 false true false 75000 5000000 2425000 2575000 true 0 15 0 0 425000 true Represents repayment of amounts loaned to thew Issuer by Timothy J. Byrne, Sr., the General Manager of the Issuer, for the Issuer's organizational expenses. false Great Bay Insurance Holding Company, LLC Timothy J Byrne Sr. Timothy J Byrne SR General Manager 2019-08-27