0001819301-21-000001.txt : 20210517 0001819301-21-000001.hdr.sgml : 20210517 20210517132943 ACCESSION NUMBER: 0001819301-21-000001 CONFORMED SUBMISSION TYPE: D/A PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20210517 DATE AS OF CHANGE: 20210517 EFFECTIVENESS DATE: 20210517 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Prichard Medical, LLC CENTRAL INDEX KEY: 0001819301 IRS NUMBER: 842474744 STATE OF INCORPORATION: OH FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D/A SEC ACT: 1933 Act SEC FILE NUMBER: 021-372926 FILM NUMBER: 21929193 BUSINESS ADDRESS: STREET 1: 20179 BEACH CLIFF BLVD CITY: ROCKY RIVER STATE: OH ZIP: 44116 BUSINESS PHONE: 6148263100 MAIL ADDRESS: STREET 1: 20179 BEACH CLIFF BLVD CITY: ROCKY RIVER STATE: OH ZIP: 44116 D/A 1 primary_doc.xml X0708 D/A LIVE 0001819301 Prichard Medical, LLC 20179 BEACH CLIFF BLVD ROCKY RIVER OH OHIO 44116 6148263100 OHIO None None Limited Liability Company true 2016 Joseph Prichard 20179 Beach Cliff Blvd Rocky River OH OHIO 44116 Executive Officer Other Decline to Disclose 06b true 0001819301-20-000001 2020-08-03 true true false 10000 550000 275500 274500 false 18 0 0 0 false Prichard Medical, LLC /joseph m drain/ Joseph M Drain CEO 2021-05-17