0001140361-15-036105.txt : 20150929
0001140361-15-036105.hdr.sgml : 20150929
20150929151659
ACCESSION NUMBER: 0001140361-15-036105
CONFORMED SUBMISSION TYPE: D
PUBLIC DOCUMENT COUNT: 1
ITEM INFORMATION: 06b
FILED AS OF DATE: 20150929
DATE AS OF CHANGE: 20150929
EFFECTIVENESS DATE: 20150929
FILER:
COMPANY DATA:
COMPANY CONFORMED NAME: Delco Wellness Independent Physician Association, LLC
CENTRAL INDEX KEY: 0001654029
IRS NUMBER: 474646556
STATE OF INCORPORATION: PA
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: D
SEC ACT: 1933 Act
SEC FILE NUMBER: 021-248415
FILM NUMBER: 151130672
BUSINESS ADDRESS:
STREET 1: 3522 EDGMONT AVENUE
STREET 2: NO. 1248
CITY: BROOKHAVEN
STATE: PA
ZIP: 19015
BUSINESS PHONE: (215)665-9300
MAIL ADDRESS:
STREET 1: 3522 EDGMONT AVENUE
STREET 2: NO. 1248
CITY: BROOKHAVEN
STATE: PA
ZIP: 19015
D
1
primary_doc.xml
X0707
D
LIVE
0001654029
Delco Wellness Independent Physician Association, LLC
3522 EDGMONT AVENUE
NO. 1248
BROOKHAVEN
PA
PENNSYLVANIA
19015
(215)665-9300
PENNSYLVANIA
None
None
Limited Liability Company
true
2015
Robert
Madonna
3522 Edgmont Avenue
No. 1248
Brookhaven
PA
PENNSYLVANIA
19015
Director
Carl
L
Pierce, Jr.
3522 Edgmont Avenue
No. 1248
Brookhaven
PA
PENNSYLVANIA
19015
Director
Morris
E.
McCray
3522 Edgmont Avenue
No. 1248
Brookhaven
PA
PENNSYLVANIA
19015
Executive Officer
Director
Chairman of Board
Edward
Stankiewicz
3522 Edgmont Avenue
No. 1248
Brookhaven
PA
PENNSYLVANIA
19015
Executive Officer
Director
Vice Chairman of Board
Maralyn
A.
Mudrick
3522 Edgmont Avenue
No. 1248
Brookhaven
PA
PENNSYLVANIA
19015
Director
William
C.
Ware
3522 Edgmont Avenue
No. 1248
Brookhaven
PA
PENNSYLVANIA
19015
Executive Officer
Director
Treasurer
Hospitals and Physicians
Decline to Disclose
- 06b
false
2015-09-14
false
true
false
2500
20000
12500
7500
false
6
0
0
0
true
false
Delco Wellness Independent Physician Association, LLC
Austin Burrows
Austin Burrows
Secretary
2015-09-29