0001549702-12-000001.txt : 20120510 0001549702-12-000001.hdr.sgml : 20120510 20120510170238 ACCESSION NUMBER: 0001549702-12-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: Rule 504(b)(1) (not (i), (ii) or (iii)) FILED AS OF DATE: 20120510 DATE AS OF CHANGE: 20120510 EFFECTIVENESS DATE: 20120510 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Individual Practice Association Medical Group of Santa Clara County, Inc. CENTRAL INDEX KEY: 0001549702 IRS NUMBER: 943008941 STATE OF INCORPORATION: CA FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-178040 FILM NUMBER: 12831137 BUSINESS ADDRESS: STREET 1: 1051 EAST HILLSDALE BOULEVARD CITY: FOSTER CITY STATE: CA ZIP: 94404 BUSINESS PHONE: (650)358-5810 MAIL ADDRESS: STREET 1: 1051 EAST HILLSDALE BOULEVARD CITY: FOSTER CITY STATE: CA ZIP: 94404 D 1 primary_doc.xml X0705 D LIVE 0001549702 Individual Practice Association Medical Group of Santa Clara County, Inc. 1051 EAST HILLSDALE BOULEVARD Suite 750 FOSTER CITY CA CALIFORNIA 94404 (650)358-5810 CALIFORNIA None None Corporation true John Kersten Kraft, M.D. 2581 Samaritan Drive Suite 200 San Jose CA CALIFORNIA 95124 Executive Officer Director President Ellis Weeker, M.D. 2105 S. Bascom Avenue Suite 360 Campbell CA CALIFORNIA 95008 Executive Officer Director Secretary Jimmy Lin, M.D. 2411 Forest Avenue San Jose CA CALIFORNIA 95128 Executive Officer Director Treasurer Carl A. Bertelson, M.D. 2450 Samaritan Drive San Jose CA CALIFORNIA 95124 Director Mark Golod, M.D. 2505 Samaritan Drive Suite 210 San Jose CA CALIFORNIA 95124 Director John Cellar, M.D. 718 University Avenue Suite 211 Los Gatos CA CALIFORNIA 95032 Director Michael Greenfield, M.D. 2500 Hospital Drive Building 14 Mountain View CA CALIFORNIA 94040 Director Robert Norman, M.D. 455 O'Connor Drive Suite 210 San Jose CA CALIFORNIA 95128 Director Donald Stemmle, M.D. 2577 Samaritan Drive Suite 725 San Jose CA CALIFORNIA 95124 Director Steven M. Schwartz, M.D. 3803 South Bascom Avenue Suite 102 Campbell CA CALIFORNIA 95008 Director Jorge Contreras, M.D. 841 Blossom Hill Road Suite 215 San Jose CA CALIFORNIA 95123 Director William Broad, M.D. 143 E. Main Street Los Gatos CA CALIFORNIA 95030 Director Hospitals and Physicians $25,000,001 - $100,000,000 04 false 2012-04-30 false true false 1500 112500 40500 72000 false 27 0 0 0 false Individual Practice Association Medical Group of Santa Clara County, Inc. /J. Kersten Kraft, M.D./ J. Kersten Kraft, M.D. President 2012-05-10