0001667188-16-000001.txt : 20160301 0001667188-16-000001.hdr.sgml : 20160301 20160301111239 ACCESSION NUMBER: 0001667188-16-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20160301 DATE AS OF CHANGE: 20160301 EFFECTIVENESS DATE: 20160301 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Physicians' Laboratories of America LLC CENTRAL INDEX KEY: 0001667188 IRS NUMBER: 455333247 STATE OF INCORPORATION: AR FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-258306 FILM NUMBER: 161471923 BUSINESS ADDRESS: STREET 1: 10 CORPORATE HILL DRIVE STREET 2: SUITE 180 CITY: LITTLE ROCK STATE: AR ZIP: 72205 BUSINESS PHONE: 501-712-1396 MAIL ADDRESS: STREET 1: 10 CORPORATE HILL DRIVE STREET 2: SUITE 180 CITY: LITTLE ROCK STATE: AR ZIP: 72205 D 1 primary_doc.xml X0707 D LIVE 0001667188 Physicians' Laboratories of America LLC 10 CORPORATE HILL DRIVE SUITE 180 LITTLE ROCK AR ARKANSAS 72205 501-960-7883 ARKANSAS None None Limited Liability Company true 2012 Janet Richmond 10 Corporate Hill Suite 180 Little Rock AR ARKANSAS 72205 Executive Officer Manager Meraj Siddiqui 30 Dundee Cove Batesville AR ARKANSAS 72501 Director Managing Member Shazia Siddiqui 30 Dundee Cove Batesville AR ARKANSAS 72501 Director Managing Member Christopher K. Mocek 9101 Kanis Road Suite 400 Little Rock AR ARKANSAS 72205 Director Managing Member Butchaiah Garlapti 308 Smokey Lane North Little Rock AR ARKANSAS 72117 Director Managing Member M. Carl Covey 3 Club Manor Drive Maumelle AR ARKANSAS 72113 Director Managing Member Ronald Tilley 74 Turnerberry Court Mountain Home AR ARKANSAS 72653 Director Managing Member Michael S. Haydel 1022 Belanger Street Houma LA LOUISIANA 70360 Director Managing Member Jacob Abraham 16 Stonegate Point Hot Springs AR ARKANSAS 71913 Director Managing Member Cathy C. Lou 350 East Millsap Road Fayetteville AR ARKANSAS 72703 Director Managing Member Other Health Care Decline to Disclose 06b false true false true false 3500 87500 0 87500 false 0 0 0 87500 true A portion of the Manager's annual salary of $95,000 may be paid from the proceeds false Physicians' Laboratories of America LLC /s/Janet Richmond Richmond Manager 2016-03-01