0001881020-22-000001.txt : 20220629
0001881020-22-000001.hdr.sgml : 20220629
20220629141212
ACCESSION NUMBER: 0001881020-22-000001
CONFORMED SUBMISSION TYPE: D
PUBLIC DOCUMENT COUNT: 1
ITEM INFORMATION: 06b
FILED AS OF DATE: 20220629
DATE AS OF CHANGE: 20220629
EFFECTIVENESS DATE: 20220629
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: 021-450666
FILM NUMBER: 221054000
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
101 E. Washington Blvd.
10th Floor
FORT WAYNE
IN
INDIANA
46802
260-366-6874
DELAWARE
None
None
Limited Liability Company
true
2020
Matthew
Sackett
101 E. Washington Blvd.
10th Floor
Fort Wayne
IN
INDIANA
46802
Executive Officer
Director
Timothy
Wiggins
101 E. Washington Blvd.
10th Floor
Fort Wayne
IN
INDIANA
46802
Executive Officer
Director
Kevin
Wall
101 E. Washington Blvd.
10th Floor
Fort Wayne
IN
INDIANA
46802
Executive Officer
William
Vit
101 E. Washington Blvd.
10th Floor
Fort Wayne
IN
INDIANA
46802
Director
Stephen
Marquardt
101 E. Washington Blvd.
10th Floor
Fort Wayne
IN
INDIANA
46802
Director
Charles
Kline
101 E. Washington Blvd.
10th Floor
Fort Wayne
IN
INDIANA
46802
Director
Keith
Roux
101 E. Washington Blvd.
10th Floor
Fort Wayne
IN
INDIANA
46802
Director
Greg
Thompson
101 E. Washington Blvd.
10th Floor
Fort Wayne
IN
INDIANA
46802
Director
Insurance
$25,000,001 - $100,000,000
- 06b
false
2022-06-15
false
true
false
0
16000000
16000000
0
false
10
0
0
0
false
DOXA Parent Holdings, LLC
Matthew Sackett
Matthew Sackett
Chief Executive Officer
2022-06-29