0001652389-16-000003.txt : 20160715 0001652389-16-000003.hdr.sgml : 20160715 20160714193153 ACCESSION NUMBER: 0001652389-16-000003 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20160715 DATE AS OF CHANGE: 20160714 EFFECTIVENESS DATE: 20160715 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: 021-267053 FILM NUMBER: 161768316 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. 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 JOANNE SMITH C/O PATTERSON MEDICAL HOLDINGS, INC. 28100 TORCH PKWY #700 WARRENVILLE IL ILLINOIS 60555 Director JAMES ANDREW PARCHEM C/O PATTERSON MEDICAL HOLDINGS, INC. 28100 TORCH PKWY #700 WARRENVILLE IL ILLINOIS 60555 Executive Officer MANUEL BROCKE-BENZ C/O PATTERSON MEDICAL HOLDINGS, INC. 28100 TORCH PKWY #700 WARRENVILLE IL ILLINOIS 60555 Director D. SCOTT BROWN 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 Other Health Care Decline to Disclose 06b false 2016-07-01 false true true Lanai Holdings I, LLC issued equity in connection with its subsidiary's acquisition of Performance Health Holdings Corp. 0 286500000 250000000 36500000 true 14 48 0 0 0 false LANAI HOLDINGS I, LLC /S/ MICHAEL J. ORSCHELN MICHAEL J. ORSCHELN CHIEF EXECUTIVE OFFICER 2016-07-14