0002014687-24-000001.txt : 20240307 0002014687-24-000001.hdr.sgml : 20240307 20240307140621 ACCESSION NUMBER: 0002014687-24-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20240307 DATE AS OF CHANGE: 20240307 EFFECTIVENESS DATE: 20240307 FILER: COMPANY DATA: COMPANY CONFORMED NAME: SCA-Palomar Holdings, LLC CENTRAL INDEX KEY: 0002014687 ORGANIZATION NAME: IRS NUMBER: 934711624 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-506970 FILM NUMBER: 24729441 BUSINESS ADDRESS: STREET 1: 2130 CITRACADO PARKWAY, SUITE 100 CITY: ESCONDIDO STATE: CA ZIP: 92029 BUSINESS PHONE: (858) 673-2450 MAIL ADDRESS: STREET 1: 2130 CITRACADO PARKWAY, SUITE 100 CITY: ESCONDIDO STATE: CA ZIP: 92029 D 1 primary_doc.xml X0708 D LIVE 0002014687 SCA-Palomar Holdings, LLC 2130 CITRACADO PARKWAY, SUITE 100 ESCONDIDO CA CALIFORNIA 92029 (858) 673-2450 DELAWARE None None Limited Liability Company true 2023 Jordan Thau c/o SCA-Palomar Holdings, LLC 2130 Citracado Parkway, Suite 100 Escondido CA CALIFORNIA 92029 Director Manager of Issuer Monica Crellin c/o SCA-Palomar Holdings, LLC 2130 Citracado Parkway, Suite 100 Escondido CA CALIFORNIA 92029 Director Manager of Issuer Joseph Colbert c/o SCA-Palomar Holdings, LLC 2130 Citracado Parkway, Suite 100 Escondido CA CALIFORNIA 92029 Director Manager of Issuer Ryan Olsen c/o SCA-Palomar Holdings, LLC 2130 Citracado Parkway, Suite 100 Escondido CA CALIFORNIA 92029 Director Manager of Issuer Omar Khawaja c/o SCA-Palomar Holdings, LLC 2130 Citracado Parkway, Suite 100 Escondido CA CALIFORNIA 92029 Director Manager of Issuer Other Decline to Disclose 06b false 2024-02-19 false true true 0 2318516 2318516 0 false 2 0 0 0 false SCA-Palomar Holdings, LLC /s/ Jordan Thau Jordan Thau Manager 2024-03-07