0001566269-15-000002.txt : 20151013 0001566269-15-000002.hdr.sgml : 20151012 20151013155627 ACCESSION NUMBER: 0001566269-15-000002 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20151013 DATE AS OF CHANGE: 20151013 EFFECTIVENESS DATE: 20151013 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Oliver Street Dermatology Holdings LLC CENTRAL INDEX KEY: 0001566269 IRS NUMBER: 461313550 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-249261 FILM NUMBER: 151156104 BUSINESS ADDRESS: STREET 1: 2 OLIVER STREET, 10TH FLOOR CITY: BOSTON STATE: MA ZIP: 02109 BUSINESS PHONE: 617-262-1480 MAIL ADDRESS: STREET 1: 2 OLIVER STREET, 10TH FLOOR CITY: BOSTON STATE: MA ZIP: 02109 D 1 primary_doc.xml X0707 D LIVE 0001566269 Oliver Street Dermatology Holdings LLC 2 OLIVER STREET, 10TH FLOOR BOSTON MA MASSACHUSETTS 02109 617-262-1480 DELAWARE None None Limited Liability Company true 2012 Stephen M. Jenks 2 Oliver Street, 10th Floor Boston MA MASSACHUSETTS 02109 Director Glenn Goldstein 2 Oliver Street, 10th Floor Boston MA MASSACHUSETTS 02109 Director Lawrence L. Anderson, M.D. 2 Oliver Street, 10th Floor Boston MA MASSACHUSETTS 02109 Director Benjamin Geis 2 Oliver Street, 10th Floor Boston MA MASSACHUSETTS 02109 Director John C. Harrison 2 Oliver Street, 10th Floor Boston MA MASSACHUSETTS 02109 Director Geoffrey L. Wayne 2 Oliver Street, 10th Floor Boston MA MASSACHUSETTS 02109 Director Other Health Care Decline to Disclose 06b false 2015-10-01 false true true false 0 2500000 2500000 0 false 1 0 0 0 false Oliver Street Dermatology Holdings LLC /s/ Geoffrey L. Wayne Geoffrey L. Wayne CEO 2015-10-13