0001469919-15-000003.txt : 20150511 0001469919-15-000003.hdr.sgml : 20150511 20150511162725 ACCESSION NUMBER: 0001469919-15-000003 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06c FILED AS OF DATE: 20150511 DATE AS OF CHANGE: 20150511 EFFECTIVENESS DATE: 20150511 FILER: COMPANY DATA: COMPANY CONFORMED NAME: PROVISION IMAGING, LLC CENTRAL INDEX KEY: 0001469919 IRS NUMBER: 204768991 STATE OF INCORPORATION: TN FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-239591 FILM NUMBER: 15851112 BUSINESS ADDRESS: STREET 1: 2095 LAKESIDE CENTRE WAY STREET 2: SUITE 101 CITY: KNOXVILLE STATE: TN ZIP: 37922 BUSINESS PHONE: 865-691-6756 MAIL ADDRESS: STREET 1: 2095 LAKESIDE CENTRE WAY STREET 2: SUITE 101 CITY: KNOXVILLE STATE: TN ZIP: 37922 D 1 primary_doc.xml X0707 D LIVE 0001469919 PROVISION IMAGING, LLC 1400 Dowell Springs Blvd SUITE 350 KNOXVILLE TN TENNESSEE 37909 865-691-6756 TENNESSEE None None Limited Liability Company true Terry Douglass 1400 Dowell Springs Blvd Suite 350 Knoxville TN TENNESSEE 37909 Executive Officer Director Anne Swartz 1400 Dowell Springs Blvd Suite 350 Knoxville TN TENNESSEE 37909 Executive Officer Mary Lou DuBois 1400 Dowell Springs Blvd Suite 350 Knoxville TN TENNESSEE 37909 Director Tracy Dobbs 1400 Dowell Springs Blvd Suite 350 Knoxville TN TENNESSEE 37909 Director Harry Bishop 1400 Dowell Springs Blvd Suite 350 Knoxville TN TENNESSEE 37909 Director Raymond Brig 1400 Dowell Springs Blvd Suite 350 Knoxville TN TENNESSEE 37909 Director Other Health Care Decline to Disclose 06c false 2015-01-14 false true false 9951 None None None None 1400 Dowell Springs Blvd Suite 350 Knoxville TN TENNESSEE 37909 TN TENNESSEE false 2999576 1736410 1263166 The offering closed and subscriptions were sold as of January 14, 2015. No amount remains to be sold at this time. false 20 0 0 0 false PROVISION IMAGING, LLC AS Anne Swartz Secretary and CFO 2015-05-11