0001539911-19-000003.txt : 20191108 0001539911-19-000003.hdr.sgml : 20191108 20191107190000 ACCESSION NUMBER: 0001539911-19-000003 CONFORMED SUBMISSION TYPE: D/A PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20191108 DATE AS OF CHANGE: 20191107 EFFECTIVENESS DATE: 20191108 FILER: COMPANY DATA: COMPANY CONFORMED NAME: MEDIPORTAL LLC CENTRAL INDEX KEY: 0001539911 IRS NUMBER: 452924913 STATE OF INCORPORATION: NY FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D/A SEC ACT: 1933 Act SEC FILE NUMBER: 021-348768 FILM NUMBER: 191201718 BUSINESS ADDRESS: STREET 1: 1033 FENWOOD DRIVE 1 CITY: VALLEY STREAM STATE: NY ZIP: 11580 BUSINESS PHONE: (646) 504-6334 MAIL ADDRESS: STREET 1: 1033 FENWOOD DRIVE 1 CITY: VALLEY STREAM STATE: NY ZIP: 11580 D/A 1 primary_doc.xml X0708 D/A LIVE 0001539911 MEDIPORTAL LLC 1033 FENWOOD DRIVE 1 VALLEY STREAM NY NEW YORK 11580 (646) 504-6334 NEW YORK None None Limited Liability Company true Anand Prabhu c/o MediPortal, LLC 1979 Marcus Avenue, Suite 210 Lake Success NY NEW YORK 11042 Executive Officer Director Dennis Chan c/o MediPortal, LLC 1979 Marcus Avenue, Suite 210 Lake Success NY NEW YORK 11042 Executive Officer Director Boris Zolotarev c/o MediPortal, LLC 1979 Marcus Avenue, Suite 210 Lake Success NY NEW YORK 11042 Executive Officer Steve Burt c/o MediPortal, LLC 1979 Marcus Avenue, Suite 210 Lake Success NY NEW YORK 11042 Executive Officer Director Rolian Ruiz c/o MediPortal, LLC 1979 Marcus Avenue, Suite 210 Lake Success NY NEW YORK 11042 Executive Officer Other Health Care Decline to Disclose 06b true 0001539911-19-000002 true false true false 100000 3000000 0 3000000 true 0 0 0 true 0 true 0 true false MEDIPORTAL LLC Anand Prabhu Anand Prabhu Chief Executive Officer 2019-11-07