0001622245-14-000001.txt : 20141015 0001622245-14-000001.hdr.sgml : 20141015 20141015162205 ACCESSION NUMBER: 0001622245-14-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20141015 DATE AS OF CHANGE: 20141015 EFFECTIVENESS DATE: 20141015 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Broad Spectrum Independent Physician Association, LLC CENTRAL INDEX KEY: 0001622245 IRS NUMBER: 465693621 STATE OF INCORPORATION: PA FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-226523 FILM NUMBER: 141157838 BUSINESS ADDRESS: STREET 1: 1500 SPRING GARDEN STREET STREET 2: SUITE 800 CITY: PHILADELPHIA STATE: PA ZIP: 19130 BUSINESS PHONE: 267-273-7000 MAIL ADDRESS: STREET 1: 1500 SPRING GARDEN STREET STREET 2: SUITE 800 CITY: PHILADELPHIA STATE: PA ZIP: 19130 D 1 primary_doc.xml X0707 D LIVE 0001622245 Broad Spectrum Independent Physician Association, LLC 1500 SPRING GARDEN STREET SUITE 800 PHILADELPHIA PA PENNSYLVANIA 19130 267-273-7000 PENNSYLVANIA None None Limited Liability Company true 2014 Gary Yeoman 1500 Spring Garden Street Ste. 800 Philadelphia PA PENNSYLVANIA 19130 Executive Officer Manager of LLC Tej Kokroo 1500 Spring Garden Street Ste. 800 Philadelphia PA PENNSYLVANIA 19130 Executive Officer Manager of LLC Jose Bossbaly 1500 Spring Garden Street Ste. 800 Philadelphia PA PENNSYLVANIA 19130 Executive Officer Manager of LLC Max Mercado 1500 Spring Garden Street Ste. 800 Philadelphia PA PENNSYLVANIA 19130 Executive Officer Manager of LLC Donald Parks 1500 Spring Garden Street Ste. 800 Philadelphia PA PENNSYLVANIA 19130 Executive Officer Manager of LLC A. Scott McNeal 1500 Spring Garden Street Ste. 800 Philadelphia PA PENNSYLVANIA 19130 Executive Officer Manager of LLC Hospitals and Physicians No Revenues 06b false 2014-10-01 false true false 0 55000 36000 19000 false 6 0 0 0 false Broad Spectrum Independent Physician Association, LLC /s/ Donald Parks Donald Parks Manager 2014-10-15