0001992569-24-000002.txt : 20241029 0001992569-24-000002.hdr.sgml : 20241029 20241029083018 ACCESSION NUMBER: 0001992569-24-000002 CONFORMED SUBMISSION TYPE: D/A PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20241029 DATE AS OF CHANGE: 20241029 EFFECTIVENESS DATE: 20241029 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Prime Special Risk Holding Company, LLC CENTRAL INDEX KEY: 0001992569 ORGANIZATION NAME: IRS NUMBER: 932613164 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D/A SEC ACT: 1933 Act SEC FILE NUMBER: 021-499077 FILM NUMBER: 241402772 BUSINESS ADDRESS: STREET 1: 8722 S. HARRISON STREET CITY: SANDY STATE: UT ZIP: 84070 BUSINESS PHONE: 8013045502 MAIL ADDRESS: STREET 1: PO BOX 4439 CITY: SANDY STATE: UT ZIP: 84091-4439 D/A 1 primary_doc.xml X0708 D/A LIVE 0001992569 Prime Special Risk Holding Company, LLC 8722 S. HARRISON STREET SANDY UT UTAH 84070 8013045502 DELAWARE None None Limited Liability Company true 2023 Rick J. Lindsey 8722 S. Harrison Street Sandy UT UTAH 84070 Executive Officer Director Specific titles/positions: Chairman (Manager), Chief Executive Officer and President Peter Flowers 8722 S. Harrison Street Sandy UT UTAH 84070 Director Specific title/position: Manager Todd Bryant 8722 S. Harrison Street Sandy UT UTAH 84070 Director Specific title/position: Manager Leland Chait 8722 S. Harrison Street Sandy UT UTAH 84070 Director Specific title/position: Manager Jeffrey Leman 8722 S. Harrison Street Sandy UT UTAH 84070 Executive Officer Specific titles/positions: Chief Operating Officer and Secretary Richard Bryant 8722 S. Harrison Street Sandy UT UTAH 84070 Executive Officer Specific title/position: President of Underwriting Brent A. Seegmiller 8722 S. Harrison Street Sandy UT UTAH 84070 Executive Officer Specific titles/positions: Chief Financial Officer and Treasurer Mark Fisher 8722 S. Harrison Street Sandy UT UTAH 84070 Executive Officer Specific title/position: General Counsel J.D. Brown 8722 S. Harrison Street Sandy UT UTAH 84070 Executive Officer Specific title/position: Chief Information Officer Thomassie Tommy 8722 S. Harrison Street Sandy UT UTAH 84070 Executive Officer Specific title/position: Chief Risk Officer Insurance No Revenues 06b true 0001992569-23-000001 2023-12-06 true true false 0 BA Securities, LLC 153489 BA Securities, LLC 153489 200 Barr Harbor Drive Suite 400 W. Conshohocken PA PENNSYLVANIA 19428 CA CALIFORNIA CT CONNECTICUT IL ILLINOIS NY NEW YORK TX TEXAS false 975000000 1500000 973500000 false 4 3500 true 0 Commissions depend on amount of securities sold and will equal 2% of sale price. Estimate based on number of prospective investors as of 7/2/24 and assumes they purchase $1,750,000 in aggregate. It is unknown whether/how much such investors will purchase. 0 Issuer will reimburse Prime Holdings Insurance Services, Inc for compensation paid to Issuer's officers and managers for their services, but such reimbursement will come from dividends from Prime Special Risk Insurance Company resulting from its profits false Prime Special Risk Holding Company, LLC Brent A. Seegmiller Brent A. Seegmiller Chief Financial Officer and Treasurer 2024-10-29