0001556494-17-000004.txt : 20170322 0001556494-17-000004.hdr.sgml : 20170322 20170322133233 ACCESSION NUMBER: 0001556494-17-000004 CONFORMED SUBMISSION TYPE: D/A PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20170322 DATE AS OF CHANGE: 20170322 EFFECTIVENESS DATE: 20170322 FILER: COMPANY DATA: COMPANY CONFORMED NAME: EBH HOLDING COMPANY, INC. CENTRAL INDEX KEY: 0001556494 IRS NUMBER: 900770370 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D/A SEC ACT: 1933 Act SEC FILE NUMBER: 021-251875 FILM NUMBER: 17706285 BUSINESS ADDRESS: STREET 1: 5000 E. SPRING STREET, SUITE 650 CITY: LONG BEACH STATE: CA ZIP: 90815 BUSINESS PHONE: 562-741-6470 MAIL ADDRESS: STREET 1: 5000 E. SPRING STREET, SUITE 650 CITY: LONG BEACH STATE: CA ZIP: 90815 D/A 1 primary_doc.xml X0707 D/A LIVE 0001556494 EBH HOLDING COMPANY, INC. 5000 Airport Plaza Drive, Suite 100 LONG BEACH CA CALIFORNIA 90815 562-741-6470 DELAWARE None None Corporation true Richard Whitney c/o EBH Holding Company, Inc. 5000 Airport Plaza Drive, Suite 100 Long Beach CA CALIFORNIA 90815 Director Mohamad Makhzoumi c/o EBH Holding Company, Inc. 5000 Airport Plaza Drive, Suite 100 Long Beach CA CALIFORNIA 90815 Director Nader Naini c/o EBH Holding Company, Inc. 5000 Airport Plaza Drive, Suite 100 Long Beach CA CALIFORNIA 90815 Director David Sack, M.D. c/o EBH Holding Company, Inc. 5000 Airport Plaza Drive, Suite 100 Long Beach CA CALIFORNIA 90815 Executive Officer Director Chief Medical Officer Chris Karkenny c/o EBH Holding Company, Inc. 5000 Airport Plaza Drive, Suite 100 Long Beach CA CALIFORNIA 90815 Executive Officer Director Chief Executive Officer and President Greg Scott c/o EBH Holding Company, Inc. 5000 Airport Plaza Drive, Suite 100 Long Beach CA CALIFORNIA 90815 Director Other Health Care Decline to Disclose 06b true 0001556494-17-000003 2015-11-16 true true false 0 Indefinite 39318421 Indefinite false 8 0 0 0 true false EBH HOLDING COMPANY, INC. /s/ Nick Poan Nick Poan CFO 2017-03-22