0001439789-11-000003.txt : 20110823 0001439789-11-000003.hdr.sgml : 20110823 20110818122650 ACCESSION NUMBER: 0001439789-11-000003 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: Rule 506 FILED AS OF DATE: 20110818 DATE AS OF CHANGE: 20110818 EFFECTIVENESS DATE: 20110818 FILER: COMPANY DATA: COMPANY CONFORMED NAME: COVENANT SURGICAL PARTNERS INC CENTRAL INDEX KEY: 0001439789 IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-164639 FILM NUMBER: 111044324 BUSINESS ADDRESS: STREET 1: 401 COMMERCE STREET STREET 2: SUITE 740 CITY: NASHVILLE STATE: TN ZIP: 37219 BUSINESS PHONE: 615-345-6902 MAIL ADDRESS: STREET 1: 401 COMMERCE STREET STREET 2: SUITE 740 CITY: NASHVILLE STATE: TN ZIP: 37219 D 1 primary_doc.xml X0704 D LIVE 0001439789 COVENANT SURGICAL PARTNERS INC 401 COMMERCE STREET SUITE 740 NASHVILLE TN TENNESSEE 37219 615-345-6902 DELAWARE None None Corporation true 2008 Michael A. Koban 401 Commerce Street, Suite 740 Nashville TN TENNESSEE 37219 Executive Officer Director Marnix E. Heersink 401 Commerce Street, Suite 740 Nashville TN TENNESSEE 37219 Executive Officer Director Richard K. Jacques 401 Commerce Street, Suite 740 Nashville TN TENNESSEE 37219 Executive Officer Director J. Frank Barefield 401 Commerce Street, Suite 740 Nashville TN TENNESSEE 37219 Director Lucius E. Burch III 401 Commerce Street, Suite 740 Nashville TN TENNESSEE 37219 Director John F. Jacques 401 Commerce Street, Suite 740 Nashville TN TENNESSEE 37219 Director James E. Vann 401 Commerce Street, Suite 740 Nashville TN TENNESSEE 37219 Director David Holst 401 Commerce Street, Suite 740 Nashville TN TENNESSEE 37219 Executive Officer Jack F. King 1200 One Nashville Place 150 4th Avenue North Nashville TN TENNESSEE 37219 Executive Officer Other Health Care $5,000,001 - $25,000,000 06 false 2011-08-05 false true false 91854 1837161 1837161 0 false 4 0 0 0 false COVENANT SURGICAL PARTNERS INC Richard K. Jacques Richard K. Jacques President and CEO 2011-08-18