0001652389-15-000001.txt : 20150917 0001652389-15-000001.hdr.sgml : 20150917 20150917115934 ACCESSION NUMBER: 0001652389-15-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20150917 DATE AS OF CHANGE: 20150917 EFFECTIVENESS DATE: 20150917 FILER: COMPANY DATA: COMPANY CONFORMED NAME: LANAI HOLDINGS I, LLC CENTRAL INDEX KEY: 0001652389 IRS NUMBER: 474617808 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-247815 FILM NUMBER: 151111704 BUSINESS ADDRESS: STREET 1: C/O PATTERSON MEDICAL HOLDINGS, INC. STREET 2: 2800 TORCH PKWY #700 CITY: WARRENVILLE STATE: IL ZIP: 60555 BUSINESS PHONE: (630) 393-6000 MAIL ADDRESS: STREET 1: C/O PATTERSON MEDICAL HOLDINGS, INC. STREET 2: 2800 TORCH PKWY #700 CITY: WARRENVILLE STATE: IL ZIP: 60555 D 1 primary_doc.xml X0707 D LIVE 0001652389 LANAI HOLDINGS I, LLC C/O PATTERSON MEDICAL HOLDINGS, INC. 28100 TORCH PKWY #700 WARRENVILLE IL ILLINOIS 60555 (630) 393-6000 DELAWARE None None Limited Liability Company true 2015 TIMOTHY SULLIVAN C/O PATTERSON MEDICAL HOLDINGS, INC. 28100 TORCH PKWY #700 WARRENVILLE IL ILLINOIS 60555 Director VIVEK PATTIPATI C/O PATTERSON MEDICAL HOLDINGS, INC. 28100 TORCH PKWY #700 WARRENVILLE IL ILLINOIS 60555 Director T. JASON SHIDELER C/O PATTERSON MEDICAL HOLDINGS, INC. 28100 TORCH PKWY #700 WARRENVILLE IL ILLINOIS 60555 Director NICHOLAS W. ALEXOS C/O PATTERSON MEDICAL HOLDINGS, INC. 28100 TORCH PKWY #700 WARRENVILLE IL ILLINOIS 60555 Director MICHAEL J. ORSCHELN C/O PATTERSON MEDICAL HOLDINGS, INC. 28100 TORCH PKWY #700 WARRENVILLE IL ILLINOIS 60555 Executive Officer Director HARRY KRAEMER C/O PATTERSON MEDICAL HOLDINGS, INC. 28100 TORCH PKWY #700 WARRENVILLE IL ILLINOIS 60555 Director MICHAEL R. GRAVEL C/O PATTERSON MEDICAL HOLDINGS, INC. 28100 TORCH PKWY #700 WARRENVILLE IL ILLINOIS 60555 Executive Officer RAYMOND D. GODSIL C/O PATTERSON MEDICAL HOLDINGS, INC. 28100 TORCH PKWY #700 WARRENVILLE IL ILLINOIS 60555 Executive Officer DOUGLAS A. SCHMIDT C/O PATTERSON MEDICAL HOLDINGS, INC. 28100 TORCH PKWY #700 WARRENVILLE IL ILLINOIS 60555 Executive Officer FRED LIEB C/O PATTERSON MEDICAL HOLDINGS, INC. 28100 TORCH PKWY #700 WARRENVILLE IL ILLINOIS 60555 Executive Officer JAMES ANDREW PARCHEM C/O PATTERSON MEDICAL HOLDINGS, INC. 28100 TORCH PKWY #700 WARRENVILLE IL ILLINOIS 60555 Executive Officer Other Health Care Decline to Disclose 06b false 2015-08-28 false true true Lanai Holdings I, LLC issued equity in connection with its subsidiary's acquisition of Patterson Medical Holdings, Inc. 0 Indefinite 30500000 Indefinite true 0 17 0 0 0 false LANAI HOLDINGS I, LLC /S/ MICHAEL J. ORSCHELN MICHAEL J. ORSCHELN CHIEF EXECUTIVE OFFICER 2015-09-03