9999999995-16-005455.txt : 20160818
9999999995-16-005455.hdr.sgml : 20160818
20160818001517
ACCESSION NUMBER: 9999999995-16-005455
CONFORMED SUBMISSION TYPE: EFFECT
PUBLIC DOCUMENT COUNT: 1
FILED AS OF DATE: 20160817
DATE AS OF CHANGE: 20160818
EFFECTIVENESS DATE: 20160817
FILER:
COMPANY DATA:
COMPANY CONFORMED NAME: MOLINA HEALTHCARE INC
CENTRAL INDEX KEY: 0001179929
STANDARD INDUSTRIAL CLASSIFICATION: HOSPITAL & MEDICAL SERVICE PLANS [6324]
IRS NUMBER: 134204626
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: EFFECT
SEC ACT: 1933 Act
SEC FILE NUMBER: 333-213136
FILM NUMBER: 161839907
BUSINESS ADDRESS:
STREET 1: 200 OCEANGATE, SUITE 100
CITY: LONG BEACH
STATE: CA
ZIP: 90802
BUSINESS PHONE: 5624353666
MAIL ADDRESS:
STREET 1: 200 OCEANGATE, SUITE 100
CITY: LONG BEACH
STATE: CA
ZIP: 90802
FILER:
COMPANY DATA:
COMPANY CONFORMED NAME: Camelot Care Centers, Inc
CENTRAL INDEX KEY: 0001682084
IRS NUMBER: 363465604
STATE OF INCORPORATION: IL
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: EFFECT
SEC ACT: 1933 Act
SEC FILE NUMBER: 333-213136-02
FILM NUMBER: 161839909
BUSINESS ADDRESS:
STREET 1: 200 OCEANGATE
STREET 2: SUITE 100
CITY: LONG BEACH
STATE: CA
ZIP: 90802
BUSINESS PHONE: 562-435-3666
MAIL ADDRESS:
STREET 1: 200 OCEANGATE
STREET 2: SUITE 100
CITY: LONG BEACH
STATE: CA
ZIP: 90802
FILER:
COMPANY DATA:
COMPANY CONFORMED NAME: Pathways of Arizona, Inc.
CENTRAL INDEX KEY: 0001682092
IRS NUMBER: 860706547
STATE OF INCORPORATION: AZ
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: EFFECT
SEC ACT: 1933 Act
SEC FILE NUMBER: 333-213136-07
FILM NUMBER: 161839914
BUSINESS ADDRESS:
STREET 1: 200 OCEANGATE
STREET 2: SUITE 100
CITY: LONG BEACH
STATE: CA
ZIP: 90802
BUSINESS PHONE: 562-435-3666
MAIL ADDRESS:
STREET 1: 200 OCEANGATE
STREET 2: SUITE 100
CITY: LONG BEACH
STATE: CA
ZIP: 90802
FILER:
COMPANY DATA:
COMPANY CONFORMED NAME: Pathways Community Services LLC
CENTRAL INDEX KEY: 0001682095
IRS NUMBER: 232820336
STATE OF INCORPORATION: PA
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: EFFECT
SEC ACT: 1933 Act
SEC FILE NUMBER: 333-213136-09
FILM NUMBER: 161839916
BUSINESS ADDRESS:
STREET 1: 200 OCEANGATE
STREET 2: SUITE 100
CITY: LONG BEACH
STATE: CA
ZIP: 90802
BUSINESS PHONE: 562-435-3666
MAIL ADDRESS:
STREET 1: 200 OCEANGATE
STREET 2: SUITE 100
CITY: LONG BEACH
STATE: CA
ZIP: 90802
FILER:
COMPANY DATA:
COMPANY CONFORMED NAME: Pathways Community Services LLC
CENTRAL INDEX KEY: 0001682204
IRS NUMBER: 330797276
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: EFFECT
SEC ACT: 1933 Act
SEC FILE NUMBER: 333-213136-10
FILM NUMBER: 161839917
BUSINESS ADDRESS:
STREET 1: 200 OCEANGATE
STREET 2: SUITE 100
CITY: LONG BEACH
STATE: CA
ZIP: 90802
BUSINESS PHONE: 562-435-3666
MAIL ADDRESS:
STREET 1: 200 OCEANGATE
STREET 2: SUITE 100
CITY: LONG BEACH
STATE: CA
ZIP: 90802
FILER:
COMPANY DATA:
COMPANY CONFORMED NAME: Family Preservation Services of North Carolina, Inc.
CENTRAL INDEX KEY: 0001682104
IRS NUMBER: 860976674
STATE OF INCORPORATION: NC
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: EFFECT
SEC ACT: 1933 Act
SEC FILE NUMBER: 333-213136-14
FILM NUMBER: 161839921
BUSINESS ADDRESS:
STREET 1: 200 OCEANGATE
STREET 2: SUITE 100
CITY: LONG BEACH
STATE: CA
ZIP: 90802
BUSINESS PHONE: 562-435-3666
MAIL ADDRESS:
STREET 1: 200 OCEANGATE
STREET 2: SUITE 100
CITY: LONG BEACH
STATE: CA
ZIP: 90802
FILER:
COMPANY DATA:
COMPANY CONFORMED NAME: CHILDREN'S BEHAVIORAL HEALTH, INC.
CENTRAL INDEX KEY: 0001682087
IRS NUMBER: 202639439
STATE OF INCORPORATION: PA
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: EFFECT
SEC ACT: 1933 Act
SEC FILE NUMBER: 333-213136-18
FILM NUMBER: 161839925
BUSINESS ADDRESS:
STREET 1: 200 OCEANGATE
STREET 2: SUITE 100
CITY: LONG BEACH
STATE: CA
ZIP: 90802
BUSINESS PHONE: 562-435-3666
MAIL ADDRESS:
STREET 1: 200 OCEANGATE
STREET 2: SUITE 100
CITY: LONG BEACH
STATE: CA
ZIP: 90802
FILER:
COMPANY DATA:
COMPANY CONFORMED NAME: AmericanWork, Inc.
CENTRAL INDEX KEY: 0001682083
IRS NUMBER: 582478281
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: EFFECT
SEC ACT: 1933 Act
SEC FILE NUMBER: 333-213136-03
FILM NUMBER: 161839910
BUSINESS ADDRESS:
STREET 1: 200 OCEANGATE
STREET 2: SUITE 100
CITY: LONG BEACH
STATE: CA
ZIP: 90802
BUSINESS PHONE: 562-435-3666
MAIL ADDRESS:
STREET 1: 200 OCEANGATE
STREET 2: SUITE 100
CITY: LONG BEACH
STATE: CA
ZIP: 90802
FILER:
COMPANY DATA:
COMPANY CONFORMED NAME: Pathways of Maine, Inc.
CENTRAL INDEX KEY: 0001682158
IRS NUMBER: 860970832
STATE OF INCORPORATION: ME
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: EFFECT
SEC ACT: 1933 Act
SEC FILE NUMBER: 333-213136-05
FILM NUMBER: 161839912
BUSINESS ADDRESS:
STREET 1: 200 OCEANGATE
STREET 2: SUITE 100
CITY: LONG BEACH
STATE: CA
ZIP: 90802
BUSINESS PHONE: 562-435-3666
MAIL ADDRESS:
STREET 1: 200 OCEANGATE
STREET 2: SUITE 100
CITY: LONG BEACH
STATE: CA
ZIP: 90802
FILER:
COMPANY DATA:
COMPANY CONFORMED NAME: Pathways Health & Community Support LLC
CENTRAL INDEX KEY: 0001682094
IRS NUMBER: 472525144
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: EFFECT
SEC ACT: 1933 Act
SEC FILE NUMBER: 333-213136-08
FILM NUMBER: 161839915
BUSINESS ADDRESS:
STREET 1: 200 OCEANGATE
STREET 2: SUITE 100
CITY: LONG BEACH
STATE: CA
ZIP: 90802
BUSINESS PHONE: 562-435-3666
MAIL ADDRESS:
STREET 1: 200 OCEANGATE
STREET 2: SUITE 100
CITY: LONG BEACH
STATE: CA
ZIP: 90802
FILER:
COMPANY DATA:
COMPANY CONFORMED NAME: Molina Pathways, LLC
CENTRAL INDEX KEY: 0001682096
IRS NUMBER: 452854547
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: EFFECT
SEC ACT: 1933 Act
SEC FILE NUMBER: 333-213136-11
FILM NUMBER: 161839918
BUSINESS ADDRESS:
STREET 1: 200 OCEANGATE
STREET 2: SUITE 100
CITY: LONG BEACH
STATE: CA
ZIP: 90802
BUSINESS PHONE: 562-435-3666
MAIL ADDRESS:
STREET 1: 200 OCEANGATE
STREET 2: SUITE 100
CITY: LONG BEACH
STATE: CA
ZIP: 90802
FILER:
COMPANY DATA:
COMPANY CONFORMED NAME: Molina Information Systems, LLC
CENTRAL INDEX KEY: 0001682098
IRS NUMBER: 271510177
STATE OF INCORPORATION: CA
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: EFFECT
SEC ACT: 1933 Act
SEC FILE NUMBER: 333-213136-13
FILM NUMBER: 161839920
BUSINESS ADDRESS:
STREET 1: 200 OCEANGATE
STREET 2: SUITE 100
CITY: LONG BEACH
STATE: CA
ZIP: 90802
BUSINESS PHONE: 562-435-3666
MAIL ADDRESS:
STREET 1: 200 OCEANGATE
STREET 2: SUITE 100
CITY: LONG BEACH
STATE: CA
ZIP: 90802
FILER:
COMPANY DATA:
COMPANY CONFORMED NAME: Pathways of Massachusetts LLC
CENTRAL INDEX KEY: 0001682159
IRS NUMBER: 471016377
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: EFFECT
SEC ACT: 1933 Act
SEC FILE NUMBER: 333-213136-04
FILM NUMBER: 161839911
BUSINESS ADDRESS:
STREET 1: 200 OCEANGATE
STREET 2: SUITE 100
CITY: LONG BEACH
STATE: CA
ZIP: 90802
BUSINESS PHONE: 562-435-3666
MAIL ADDRESS:
STREET 1: 200 OCEANGATE
STREET 2: SUITE 100
CITY: LONG BEACH
STATE: CA
ZIP: 90802
FILER:
COMPANY DATA:
COMPANY CONFORMED NAME: Pathways of Idaho LLC
CENTRAL INDEX KEY: 0001682091
IRS NUMBER: 465044433
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: EFFECT
SEC ACT: 1933 Act
SEC FILE NUMBER: 333-213136-06
FILM NUMBER: 161839913
BUSINESS ADDRESS:
STREET 1: 200 OCEANGATE
STREET 2: SUITE 100
CITY: LONG BEACH
STATE: CA
ZIP: 90802
BUSINESS PHONE: 562-435-3666
MAIL ADDRESS:
STREET 1: 200 OCEANGATE
STREET 2: SUITE 100
CITY: LONG BEACH
STATE: CA
ZIP: 90802
FILER:
COMPANY DATA:
COMPANY CONFORMED NAME: College Community Services
CENTRAL INDEX KEY: 0001682101
IRS NUMBER: 954864640
STATE OF INCORPORATION: CA
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: EFFECT
SEC ACT: 1933 Act
SEC FILE NUMBER: 333-213136-17
FILM NUMBER: 161839924
BUSINESS ADDRESS:
STREET 1: 200 OCEANGATE
STREET 2: SUITE 100
CITY: LONG BEACH
STATE: CA
ZIP: 90802
BUSINESS PHONE: 562-435-3666
MAIL ADDRESS:
STREET 1: 200 OCEANGATE
STREET 2: SUITE 100
CITY: LONG BEACH
STATE: CA
ZIP: 90802
FILER:
COMPANY DATA:
COMPANY CONFORMED NAME: RedCo Group, Inc.
CENTRAL INDEX KEY: 0001682163
IRS NUMBER: 232181371
STATE OF INCORPORATION: PA
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: EFFECT
SEC ACT: 1933 Act
SEC FILE NUMBER: 333-213136-01
FILM NUMBER: 161839908
BUSINESS ADDRESS:
STREET 1: 200 OCEANGATE
STREET 2: SUITE 100
CITY: LONG BEACH
STATE: CA
ZIP: 90802
BUSINESS PHONE: 562-435-3666
MAIL ADDRESS:
STREET 1: 200 OCEANGATE
STREET 2: SUITE 100
CITY: LONG BEACH
STATE: CA
ZIP: 90802
FILER:
COMPANY DATA:
COMPANY CONFORMED NAME: Molina Medical Management, Inc.
CENTRAL INDEX KEY: 0001682097
IRS NUMBER: 371652282
STATE OF INCORPORATION: CA
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: EFFECT
SEC ACT: 1933 Act
SEC FILE NUMBER: 333-213136-12
FILM NUMBER: 161839919
BUSINESS ADDRESS:
STREET 1: 200 OCEANGATE
STREET 2: SUITE 100
CITY: LONG BEACH
STATE: CA
ZIP: 90802
BUSINESS PHONE: 562-435-3666
MAIL ADDRESS:
STREET 1: 200 OCEANGATE
STREET 2: SUITE 100
CITY: LONG BEACH
STATE: CA
ZIP: 90802
FILER:
COMPANY DATA:
COMPANY CONFORMED NAME: Family Preservation Services of Florida, Inc.
CENTRAL INDEX KEY: 0001682103
IRS NUMBER: 650848685
STATE OF INCORPORATION: FL
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: EFFECT
SEC ACT: 1933 Act
SEC FILE NUMBER: 333-213136-15
FILM NUMBER: 161839922
BUSINESS ADDRESS:
STREET 1: 200 OCEANGATE
STREET 2: SUITE 100
CITY: LONG BEACH
STATE: CA
ZIP: 90802
BUSINESS PHONE: 562-435-3666
MAIL ADDRESS:
STREET 1: 200 OCEANGATE
STREET 2: SUITE 100
CITY: LONG BEACH
STATE: CA
ZIP: 90802
FILER:
COMPANY DATA:
COMPANY CONFORMED NAME: Family Preservation Services, Inc.
CENTRAL INDEX KEY: 0001682102
IRS NUMBER: 541620121
STATE OF INCORPORATION: VA
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: EFFECT
SEC ACT: 1933 Act
SEC FILE NUMBER: 333-213136-16
FILM NUMBER: 161839923
BUSINESS ADDRESS:
STREET 1: 200 OCEANGATE
STREET 2: SUITE 100
CITY: LONG BEACH
STATE: CA
ZIP: 90802
BUSINESS PHONE: 562-435-3666
MAIL ADDRESS:
STREET 1: 200 OCEANGATE
STREET 2: SUITE 100
CITY: LONG BEACH
STATE: CA
ZIP: 90802
EFFECT
1
primary_doc.xml
X0101
EFFECT
33
LIVE
2016-08-17
09:00:00
0001179929
MOLINA HEALTHCARE INC
333-213136
0001682087
CHILDREN'S BEHAVIORAL HEALTH, INC.
333-213136-18
0001682101
College Community Services
333-213136-17
0001682102
Family Preservation Services, Inc.
333-213136-16
0001682103
Family Preservation Services of Florida, Inc.
333-213136-15
0001682104
Family Preservation Services of North Carolina, Inc.
333-213136-14
0001682098
Molina Information Systems, LLC
333-213136-13
0001682097
Molina Medical Management, Inc.
333-213136-12
0001682096
Molina Pathways, LLC
333-213136-11
0001682204
Pathways Community Services LLC
333-213136-10
0001682095
Pathways Community Services LLC
333-213136-09
0001682094
Pathways Health & Community Support LLC
333-213136-08
0001682092
Pathways of Arizona, Inc.
333-213136-07
0001682091
Pathways of Idaho LLC
333-213136-06
0001682158
Pathways of Maine, Inc.
333-213136-05
0001682159
Pathways of Massachusetts LLC
333-213136-04
0001682083
AmericanWork, Inc.
333-213136-03
0001682084
Camelot Care Centers, Inc
333-213136-02
0001682163
RedCo Group, Inc.
333-213136-01