0001536406-21-000002.txt : 20210901 0001536406-21-000002.hdr.sgml : 20210901 20210901154045 ACCESSION NUMBER: 0001536406-21-000002 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20210901 DATE AS OF CHANGE: 20210901 EFFECTIVENESS DATE: 20210901 FILER: COMPANY DATA: COMPANY CONFORMED NAME: DOXA Parent Holdings, LLC CENTRAL INDEX KEY: 0001881020 IRS NUMBER: 854059766 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-412044 FILM NUMBER: 211229934 BUSINESS ADDRESS: STREET 1: 6920 POINTE INVERNESS WAY, STE. 140 CITY: FORT WAYNE STATE: IN ZIP: 46804 BUSINESS PHONE: 260-366-6874 MAIL ADDRESS: STREET 1: 6920 POINTE INVERNESS WAY, STE. 140 CITY: FORT WAYNE STATE: IN ZIP: 46804 D 1 primary_doc.xml X0708 D LIVE 0001881020 DOXA Parent Holdings, LLC 6920 POINTE INVERNESS WAY Ste 140 FORT WAYNE IN INDIANA 46804 260-366-6874 DELAWARE None None Limited Liability Company true 2020 Matthew Sackett 6920 Pointe Inverness Way Ste 140 Fort Wayne IN INDIANA 46804 Executive Officer Director Timothy Wiggins 6920 Pointe Inverness Way Ste 140 Fort Wayne IN INDIANA 46804 Executive Officer Director Kevin Wall 6920 Pointe Inverness Way Ste 140 Fort Wayne IN INDIANA 46804 Executive Officer Stephen Marquardt 6920 Pointe Inverness Way Ste 140 Fort Wayne IN INDIANA 46804 Director William Vit 6920 Pointe Inverness Way Ste 140 Fort Wayne IN INDIANA 46804 Director Charlie Kline 6920 Pointe Inverness Way Ste 140 Fort Wayne IN INDIANA 46804 Director Greg Thompson 6920 Pointe Inverness Way Ste 140 Fort Wayne IN INDIANA 46804 Director Keith Roux 6920 Pointe Inverness Way Ste 140 Fort Wayne IN INDIANA 46804 Director Insurance $5,000,001 - $25,000,000 06b false 2021-08-24 false true false 100000 20000000 4722604 15277396 false 24 0 0 0 false DOXA Parent Holdings, LLC Matthew Sackett Matthew Sackett Chief Executive Officer 2021-09-01