0001140361-15-040223.txt : 20151110
0001140361-15-040223.hdr.sgml : 20151110
20151109162946
ACCESSION NUMBER: 0001140361-15-040223
CONFORMED SUBMISSION TYPE: D
PUBLIC DOCUMENT COUNT: 1
ITEM INFORMATION: 06b
FILED AS OF DATE: 20151109
DATE AS OF CHANGE: 20151109
EFFECTIVENESS DATE: 20151109
FILER:
COMPANY DATA:
COMPANY CONFORMED NAME: BROAD AXE CARE COORDINATION LLC
CENTRAL INDEX KEY: 0001653014
IRS NUMBER: 462751216
STATE OF INCORPORATION: VA
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: D
SEC ACT: 1933 Act
SEC FILE NUMBER: 021-250915
FILM NUMBER: 151216060
BUSINESS ADDRESS:
STREET 1: ONE MORTON DRIVE, SUITE 201
CITY: CHARLOTTESVILLE
STATE: VA
ZIP: 22903
BUSINESS PHONE: (434) 244-2470
MAIL ADDRESS:
STREET 1: ONE MORTON DRIVE, SUITE 201
CITY: CHARLOTTESVILLE
STATE: VA
ZIP: 22903
D
1
primary_doc.xml
X0707
D
LIVE
0001653014
BROAD AXE CARE COORDINATION LLC
ONE MORTON DRIVE, SUITE 201
CHARLOTTESVILLE
VA
VIRGINIA
22903
(434) 244-2470
VIRGINIA
None
None
Limited Liability Company
true
2013
KIRBY
FARRELL
ONE MORTON DRIVE
SUITE 201
CHARLOTTESVILLE
VA
VIRGINIA
22903
Executive Officer
Director
PRESIDENT AND CHIEF EXECUTIVE OFFICER
ANDY
ARCHER
ONE MORTON DRIVE
SUITE 201
CHARLOTTESVILLE
VA
VIRGINIA
22903
Executive Officer
Director
SENIOR VICE PRESIDENT ANALYTICS
Other Health Care
Decline to Disclose
- 06b
false
2015-10-30
false
true
false
100000
4000000
3315864
684136
Includes $563,999 in note conversions
false
10
0
0
0
false
BROAD AXE CARE COORDINATION LLC
KIRBY FARRELL
KIRBY FARRELL
PRESIDENT & CHIEF EXECUTIVE OFFICER
2015-11-09