0001652389-15-000002.txt : 20151001 0001652389-15-000002.hdr.sgml : 20151001 20151001143620 ACCESSION NUMBER: 0001652389-15-000002 CONFORMED SUBMISSION TYPE: D/A PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20151001 DATE AS OF CHANGE: 20151001 EFFECTIVENESS DATE: 20151001 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/A SEC ACT: 1933 Act SEC FILE NUMBER: 021-247815 FILM NUMBER: 151136654 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/A 1 primary_doc.xml X0707 D/A LIVE 0001652389 LANAI HOLDINGS I, LLC C/O PATTERSON MEDICAL HOLDINGS, INC. 2800 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 MANUEL A. H. BROCKE-BENZ C/O PATTERSON MEDICAL HOLDINGS, INC. 28100 TORCH PKWY #700 WARRENVILLE IL ILLINOIS 60555 Director PAUL DIAZ C/O PATTERSON MEDICAL HOLDINGS, INC. 28100 TORCH PKWY #700 WARRENVILLE IL ILLINOIS 60555 Director SCOTT BROWN C/O PATTERSON MEDICAL HOLDINGS, INC. 28100 TORCH PKWY #700 WARRENVILLE IL ILLINOIS 60555 Director Other Health Care Decline to Disclose 06b true 0001652389-15-000001 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 381985000 381985000 0 true 4 35 0 0 0 false LANAI HOLDINGS I, LLC /S/ MICHAEL J. ORSCHELN MICHAEL J. ORSCHELN CHIEF EXECUTIVE OFFICER 2015-10-01