0001656288-15-000001.txt : 20151116 0001656288-15-000001.hdr.sgml : 20151116 20151116115941 ACCESSION NUMBER: 0001656288-15-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20151116 DATE AS OF CHANGE: 20151116 EFFECTIVENESS DATE: 20151116 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Afferent Provider Solutions, LLC CENTRAL INDEX KEY: 0001656288 IRS NUMBER: 475186408 STATE OF INCORPORATION: TX FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-251273 FILM NUMBER: 151232769 BUSINESS ADDRESS: STREET 1: 15305 DALLAS PARKWAY STREET 2: SUITE 320A CITY: ADDISON STATE: TX ZIP: 75001 BUSINESS PHONE: 2145633094 MAIL ADDRESS: STREET 1: 15305 DALLAS PARKWAY STREET 2: SUITE 320A CITY: ADDISON STATE: TX ZIP: 75001 D 1 primary_doc.xml X0707 D LIVE 0001656288 Afferent Provider Solutions, LLC 15305 DALLAS PARKWAY SUITE 300 ADDISON TX TEXAS 75001 2145633094 TEXAS None None Limited Liability Company true 2015 Michael F. Duffy 3420 Wentwood Drive Dallas TX TEXAS 75225 Director Ken S. Malcolmson 3217 Armstrong Ave. Dallas TX TEXAS 75205 Executive Officer Keith Herl 3018 Creekside Drive Sachse TX TEXAS 75048 Executive Officer Business Services No Revenues 06b false 2015-10-26 false true false 37500 1500000 637500 862500 false 12 0 0 0 false Afferent Provider Solutions, LLC Michael F. Duffy Michael F. Duffy Manager 2015-11-16