0001439789-14-000002.txt : 20140110 0001439789-14-000002.hdr.sgml : 20140110 20140110101602 ACCESSION NUMBER: 0001439789-14-000002 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20140110 DATE AS OF CHANGE: 20140110 EFFECTIVENESS DATE: 20140110 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: 021-209707 FILM NUMBER: 14520420 BUSINESS ADDRESS: STREET 1: 401 COMMERCE STREET STREET 2: SUITE 600 CITY: NASHVILLE STATE: TN ZIP: 37219 BUSINESS PHONE: 615-345-6902 MAIL ADDRESS: STREET 1: 401 COMMERCE STREET STREET 2: SUITE 600 CITY: NASHVILLE STATE: TN ZIP: 37219 D 1 primary_doc.xml X0707 D LIVE 0001439789 COVENANT SURGICAL PARTNERS INC 401 COMMERCE STREET SUITE 600 NASHVILLE TN TENNESSEE 37219 615-345-6902 DELAWARE None None Corporation true Michael A. Koban 401 Commerce Street, Suite 600 Nashville TN TENNESSEE 37219 Executive Officer Director Marnix E. Heersink 401 Commerce Street, Suite 600 Nashville TN TENNESSEE 37219 Executive Officer Richard K. Jacques 401 Commerce Street, Suite 600 Nashville TN TENNESSEE 37219 Executive Officer Director David A. Holst 401 Commerce Street, Suite 600 Nashville TN TENNESSEE 37219 Executive Officer Jack F. King 150 Third Avenue South, Suite 1600 Nashville TN TENNESSEE 37201 Executive Officer Barry D. Wesson 401 Commerce Street, Suite 600 Nashville TN TENNESSEE 37219 Executive Officer D. Whitcomb Polley 401 Commerce Street, Suite 600 Nashville TN TENNESSEE 37219 Executive Officer Keith W. Pennell 401 Commerce Street, Suite 600 Nashville TN TENNESSEE 37219 Director Brian C. Tilley 401 Commerce Street, Suite 600 Nashville TN TENNESSEE 37219 Director John F. Jacques 401 Commerce Street, Suite 600 Nashville TN TENNESSEE 37219 Director F. T. Chong 401 Commerce Street, Suite 600 Nashville TN TENNESSEE 37219 Director Scott M. Gallin 401 Commerce Street, Suite 600 Nashville TN TENNESSEE 37219 Director Other Health Care $25,000,001 - $100,000,000 06b false 2013-12-31 false true false 1030375 1030375 1030375 0 false 1 0 0 0 false COVENANT SURGICAL PARTNERS INC Richard K. Jacques Richard K. Jacques President and Chief Executive Officer 2014-01-10