0001646663-16-000006.txt : 20161201 0001646663-16-000006.hdr.sgml : 20161201 20161201123657 ACCESSION NUMBER: 0001646663-16-000006 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20161201 DATE AS OF CHANGE: 20161201 EFFECTIVENESS DATE: 20161201 FILER: COMPANY DATA: COMPANY CONFORMED NAME: AXIOM PRACTICE MANAGEMENT, LLC CENTRAL INDEX KEY: 0001646663 IRS NUMBER: 452528279 STATE OF INCORPORATION: AR FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-275457 FILM NUMBER: 162027544 BUSINESS ADDRESS: STREET 1: 5100 TALLEY ROAD STREET 2: SUITE 100 CITY: LITTLE ROCK STATE: AR ZIP: 72204 BUSINESS PHONE: 501-781-2777 MAIL ADDRESS: STREET 1: 5100 TALLEY ROAD STREET 2: SUITE 100 CITY: LITTLE ROCK STATE: AR ZIP: 72204 D 1 primary_doc.xml X0707 D LIVE 0001646663 AXIOM PRACTICE MANAGEMENT, LLC 610 President Clinton Avenue SUITE 110 LITTLE ROCK AR ARKANSAS 72201 501-781-2777 ARKANSAS None None Limited Liability Company true 2011 Mark Dake 610 President Clinton Avenue Suite 110 Little Rock AZ ARIZONA 72201 Executive Officer Director Bryan Hiller 610 President Clinton Avenue Suite 110 Little Rock AR ARKANSAS 72201 Executive Officer Director Merrit Dake 610 President Clinton Avenue Suite 110 Little Rock AR ARKANSAS 72201 Executive Officer Director Other Health Care Decline to Disclose 06b false 2016-11-03 true true false 376182 1000000 1000000 0 false 2 0 0 0 false AXIOM PRACTICE MANAGEMENT, LLC /s/ Joel Carter Joel Carter General Counsel 2016-12-01