0001600646-14-000001.txt : 20140307 0001600646-14-000001.hdr.sgml : 20140307 20140307172135 ACCESSION NUMBER: 0001600646-14-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20140307 DATE AS OF CHANGE: 20140307 EFFECTIVENESS DATE: 20140307 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Primary Care Associates Holdings, Inc. CENTRAL INDEX KEY: 0001600646 IRS NUMBER: 454006493 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-213180 FILM NUMBER: 14678335 BUSINESS ADDRESS: STREET 1: 1715 N. WESTSHORE BLVD. STREET 2: SUITE 390 CITY: TAMPA STATE: FL ZIP: 33558 BUSINESS PHONE: 212-542-1590 MAIL ADDRESS: STREET 1: 1715 N. WESTSHORE BLVD. STREET 2: SUITE 390 CITY: TAMPA STATE: FL ZIP: 33558 D 1 primary_doc.xml X0707 D LIVE 0001600646 Primary Care Associates Holdings, Inc. 1715 N. WESTSHORE BLVD. SUITE 390 TAMPA FL FLORIDA 33558 212-542-1590 DELAWARE None None Corporation true 2011 Robert J. Bunker 1715 N. Westshore Blvd. Suite 390 Tampa FL FLORIDA 33558 Executive Officer Director Samarth Chandra 601 Lexington Avenue 55th Floor New York NY NEW YORK 10022 Executive Officer Director Leslie V. Norwalk 1715 N. Westshore Blvd. Suite 390 Tampa FL FLORIDA 33558 Director Malcolm T. Kostuchenko 601 Lexington Avenue 55th Floor New York NY NEW YORK 10022 Director Jacques J. Sokolov 1715 N. Westshore Blvd. Suite 390 Tampa FL FLORIDA 33558 Director Eric Campbell 1715 N. Westshore Blvd. Suite 390 Tampa FL FLORIDA 33558 Executive Officer Jose A. Guethon 1715 N. Westshore Blvd. Suite 390 Tampa FL FLORIDA 33558 Executive Officer Enrique Diaz-Granados 1715 N. Westshore Blvd. Suite 390 Tampa FL FLORIDA 33558 Executive Officer Other Decline to Disclose 06b false 2014-01-27 false true false 0 5000000 5000000 0 false 2 0 0 0 false Primary Care Associates Holdings, Inc. /s/ Samarth Chandra Samarth Chandra Vice President 2014-03-07