0001632383-15-000001.txt : 20150205 0001632383-15-000001.hdr.sgml : 20150205 20150205132914 ACCESSION NUMBER: 0001632383-15-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20150205 DATE AS OF CHANGE: 20150205 EFFECTIVENESS DATE: 20150205 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Liberty Independent Physicians Group, LLC CENTRAL INDEX KEY: 0001632383 IRS NUMBER: 472007141 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-233573 FILM NUMBER: 15579280 BUSINESS ADDRESS: STREET 1: 1 UNION AVENUE STREET 2: 976 CITY: BALA CYNWYD STATE: PA ZIP: 19004 BUSINESS PHONE: 443-832-7115 MAIL ADDRESS: STREET 1: 1 UNION AVENUE STREET 2: 976 CITY: BALA CYNWYD STATE: PA ZIP: 19004 D 1 primary_doc.xml X0707 D LIVE 0001632383 Liberty Independent Physicians Group, LLC 1 UNION AVENUE 976 BALA CYNWYD PA PENNSYLVANIA 19004 443-832-7115 DELAWARE None None Limited Liability Company true 2014 Jacque Y Curtis 1 Union Avenue 976 Bala Cynwyd PA PENNSYLVANIA 19004 Director Promoter Class A Manager Richard M DiMonte 1 Union Avenue 976 Bala Cynwyd PA PENNSYLVANIA 19004 Director Promoter Class A Manager Carver Hills 1 Union Avenue 976 Bala Cynwyd PA PENNSYLVANIA 19004 Director Promoter Class A Manager James Tweedy 1 Union Avenue 976 Bala Cynwyd PA PENNSYLVANIA 19004 Director Promoter Class A Manager Onuorah Umeh 1 Union Avenue 976 Bala Cynwyd PA PENNSYLVANIA 19004 Director Promoter Class A Manager John Lewis Biggers 1 Union Avenue 976 Bala Cynwyd PA PENNSYLVANIA 19004 Director Promoter Representative of Class B Manager Hospitals and Physicians Decline to Disclose 06b false 2015-01-22 false true false 2500 50000 30000 20000 false 5 0 0 0 false Liberty Independent Physicians Group, LLC /s/ John Lewis Biggers John Lewis Biggers Manager Representative 2015-02-05