0001031323-19-000002.txt : 20190108
0001031323-19-000002.hdr.sgml : 20190108
20190108171900
ACCESSION NUMBER: 0001031323-19-000002
CONFORMED SUBMISSION TYPE: D
PUBLIC DOCUMENT COUNT: 1
ITEM INFORMATION: 06b
FILED AS OF DATE: 20190108
DATE AS OF CHANGE: 20190108
EFFECTIVENESS DATE: 20190108
FILER:
COMPANY DATA:
COMPANY CONFORMED NAME: Palliative Care Alliance of CA, LLC
CENTRAL INDEX KEY: 0001763909
IRS NUMBER: 831565893
STATE OF INCORPORATION: CA
FILING VALUES:
FORM TYPE: D
SEC ACT: 1933 Act
SEC FILE NUMBER: 021-329997
FILM NUMBER: 19516723
BUSINESS ADDRESS:
STREET 1: 15255 N. 40TH STREET, SUITE 125
CITY: PHOENIX
STATE: AZ
ZIP: 85032
BUSINESS PHONE: 6022696011
MAIL ADDRESS:
STREET 1: 15255 N. 40TH STREET, SUITE 125
CITY: PHOENIX
STATE: AZ
ZIP: 85032
D
1
primary_doc.xml
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0001763909
Palliative Care Alliance of CA, LLC
15255 N. 40TH STREET, SUITE 125
PHOENIX
AZ
ARIZONA
85032
6022696011
CALIFORNIA
None
None
Limited Liability Company
true
2018
April
Bolles
15255 N. 40th Street
Suite 125
Phoenix
AZ
ARIZONA
85032
Executive Officer
Other Health Care
Decline to Disclose
- 06b
false
2018-09-17
false
true
false
100000
900000
100000
800000
false
2
0
0
0
false
Palliative Care Alliance of CA, LLC
April Bolles
April Bolles
Manager
2019-01-08