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 X0708 D LIVE 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