0001648997-21-000002.txt : 20210219 0001648997-21-000002.hdr.sgml : 20210219 20210219075939 ACCESSION NUMBER: 0001648997-21-000002 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06c ITEM INFORMATION: 4a5 FILED AS OF DATE: 20210219 DATE AS OF CHANGE: 20210219 EFFECTIVENESS DATE: 20210219 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Assurance Health System, LLC CENTRAL INDEX KEY: 0001648997 IRS NUMBER: 463598233 STATE OF INCORPORATION: IN FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-389910 FILM NUMBER: 21652052 BUSINESS ADDRESS: STREET 1: 2725 ENTERPRISE DRIVE CITY: ANDERSON STATE: IN ZIP: 46013 BUSINESS PHONE: 574-339-3021 MAIL ADDRESS: STREET 1: 2725 ENTERPRISE DRIVE CITY: ANDERSON STATE: IN ZIP: 46013 D 1 primary_doc.xml X0708 D LIVE 0001648997 Assurance Health System, LLC 8465 Keystone Crossing #210 Indianapolis IN INDIANA 46240 317-870-1396 INDIANA None None Limited Liability Company true Morris D Long 12037 Leighton Court Carmel IN INDIANA 46032 Director Principal Kyle D Small 13609 Auburn Spring Circle Fishers IN INDIANA 46038 Director Principal Kenneth B Pflumm 14227 Kingdom Court Fishers IN INDIANA 46040 Director Principal Scott J Brown 11939 Foxwood Place Carmel IN INDIANA 46033 Director Principal Hospitals and Physicians Decline to Disclose 06c 4a5 false 2021-02-05 false true false 0 5620160 5620160 0 false 8 0 0 0 false Assurance Health System, LLC Timothy W. Kennedy Timothy W, Kennedy Attorney 2021-02-19