0001863398-21-000001.txt : 20210521
0001863398-21-000001.hdr.sgml : 20210521
20210521133746
ACCESSION NUMBER: 0001863398-21-000001
CONFORMED SUBMISSION TYPE: D
PUBLIC DOCUMENT COUNT: 1
ITEM INFORMATION: 06b
FILED AS OF DATE: 20210521
DATE AS OF CHANGE: 20210521
EFFECTIVENESS DATE: 20210521
FILER:
COMPANY DATA:
COMPANY CONFORMED NAME: Peak Gastroenterology ASC, LLC
CENTRAL INDEX KEY: 0001863398
IRS NUMBER: 842812564
STATE OF INCORPORATION: CO
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: D
SEC ACT: 1933 Act
SEC FILE NUMBER: 021-400230
FILM NUMBER: 21948049
BUSINESS ADDRESS:
STREET 1: 14201 DALLAS PARKWAY
CITY: DALLAS
STATE: TX
ZIP: 75254
BUSINESS PHONE: 469-872-4853
MAIL ADDRESS:
STREET 1: 14201 DALLAS PARKWAY
CITY: DALLAS
STATE: TX
ZIP: 75254
D
1
primary_doc.xml
X0708
D
LIVE
0001863398
Peak Gastroenterology ASC, LLC
14201 DALLAS PARKWAY
DALLAS
TX
TEXAS
75254
469-872-4853
COLORADO
None
None
Limited Liability Company
true
2019
Teresa
Danna
14201 Dallas Parkway
Dallas
TX
TEXAS
75254
Executive Officer
Owen
Morris
14201 Dallas Parkway
Dallas
TX
TEXAS
75254
Executive Officer
James
Bowden
14201 Dallas Parkway
Dallas
TX
TEXAS
75254
Executive Officer
Jim
Flynn
9100 East Mineral Circle
Centennial
CO
COLORADO
80111
Executive Officer
Kevin
Cullinan
9100 East Mineral Circle
Centennial
CO
COLORADO
80111
Executive Officer
Other Health Care
Decline to Disclose
- 06b
false
2021-05-06
false
true
true
Limited Liability Company Membership Interest
false
18712
USP Securities Corporation
47725
Barbara Walker
7025595
14201 Dallas Parkway
Dallas
TX
TEXAS
75254
CO
COLORADO
false
701700
701700
0
false
1
0
0
0
false
Peak Gastroenterology ASC, LLC
/s/ James Bowden
James Bowden
Vice President and Secretary
2021-05-21