0002065198-25-000001.txt : 20250425 0002065198-25-000001.hdr.sgml : 20250425 20250425170334 ACCESSION NUMBER: 0002065198-25-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20250425 DATE AS OF CHANGE: 20250425 EFFECTIVENESS DATE: 20250425 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Prizm Insurance, Inc. CENTRAL INDEX KEY: 0002065198 ORGANIZATION NAME: EIN: 883461349 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-544553 FILM NUMBER: 25875092 BUSINESS ADDRESS: STREET 1: 5 REVERE DR, STE 200 CITY: NORTHBROOK STATE: IL ZIP: 60062 BUSINESS PHONE: 8722982779 MAIL ADDRESS: STREET 1: 5 REVERE DR, STE 200 CITY: NORTHBROOK STATE: IL ZIP: 60062 D 1 primary_doc.xml X0708 D LIVE 0002065198 Prizm Insurance, Inc. 5 REVERE DR, STE 200 NORTHBROOK IL ILLINOIS 60062 8722982779 DELAWARE None None Corporation true 2022 DAVID OLCHOWKA 5 REVERE DR, STE 200 NORTHBROOK IL ILLINOIS 60062 Executive Officer Director Insurance Decline to Disclose 06b false 2025-04-02 false true false 0 700000 50000 650000 false 1 0 0 0 false Prizm Insurance, Inc. David Olchowka David Olchowka Chief Executive Officer 2025-04-17