0001997167-23-000001.txt : 20231016 0001997167-23-000001.hdr.sgml : 20231016 20231016112344 ACCESSION NUMBER: 0001997167-23-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20231016 DATE AS OF CHANGE: 20231016 EFFECTIVENESS DATE: 20231016 FILER: COMPANY DATA: COMPANY CONFORMED NAME: White Mountain Physicians, LLC CENTRAL INDEX KEY: 0001997167 IRS NUMBER: 933628844 STATE OF INCORPORATION: AZ FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-494786 FILM NUMBER: 231326696 BUSINESS ADDRESS: STREET 1: 4742 N. 24TH STREET STREET 2: SUITE 300 CITY: PHOENIX STATE: AZ ZIP: 85016 BUSINESS PHONE: 480-296-1276 MAIL ADDRESS: STREET 1: 4742 N. 24TH STREET STREET 2: SUITE 300 CITY: PHOENIX STATE: AZ ZIP: 85016 D 1 primary_doc.xml X0708 D LIVE 0001997167 White Mountain Physicians, LLC 4742 N. 24TH STREET SUITE 300 PHOENIX AZ ARIZONA 85016 480-296-1276 ARIZONA None None Limited Liability Company true 2022 Lance Donkerbrook 4742 N. 24th Street Suite 300 Phoenix AZ ARIZONA 85016 Director Manager Richard Voth 4742 N. 24th Street Suite 300 Phoenix AZ ARIZONA 85016 Director Manager Other Health Care Decline to Disclose 06b false true false true false 16000 392000 0 392000 false 0 0 0 0 false White Mountain Physicians, LLC Richard Voth Richard Voth Manager 2023-10-16