0001619746-14-000001.txt : 20140918 0001619746-14-000001.hdr.sgml : 20140918 20140918123155 ACCESSION NUMBER: 0001619746-14-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20140918 DATE AS OF CHANGE: 20140918 EFFECTIVENESS DATE: 20140918 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Providian Medical Equipment, LLC CENTRAL INDEX KEY: 0001619746 IRS NUMBER: 261620621 STATE OF INCORPORATION: OH FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-224956 FILM NUMBER: 141109574 BUSINESS ADDRESS: STREET 1: 30510 LAKELAND BLVD. STREET 2: UNIT 1 CITY: WILLOWICK STATE: OH ZIP: 44095 BUSINESS PHONE: 877-632-7117 MAIL ADDRESS: STREET 1: 30510 LAKELAND BLVD. STREET 2: UNIT 1 CITY: WILLOWICK STATE: OH ZIP: 44095 D 1 primary_doc.xml X0707 D LIVE 0001619746 Providian Medical Equipment, LLC 30510 LAKELAND BLVD. UNIT 1 WILLOWICK OH OHIO 44095 877-632-7117 OHIO None None Limited Liability Company true Brian Kosar 30510 Lakeland Blvd. Unit 1 Willowick OH OHIO 44095 Executive Officer Director Promoter Michael Skok 30510 Lakeland Blvd. Unit 1 Willowick OH OHIO 44095 Executive Officer Other Decline to Disclose 06b false true false true false 50000 1000000 0 1000000 false 0 0 0 0 false Providian Medical Equipment, LLC Michael Skok Michael Skok President 2014-09-18