0001674459-16-000001.txt : 20160512 0001674459-16-000001.hdr.sgml : 20160512 20160512110002 ACCESSION NUMBER: 0001674459-16-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20160512 DATE AS OF CHANGE: 20160512 EFFECTIVENESS DATE: 20160512 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Employers Health Network Holdings, LLC CENTRAL INDEX KEY: 0001674459 IRS NUMBER: 611766825 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-263015 FILM NUMBER: 161642237 BUSINESS ADDRESS: STREET 1: 48 SEAGRASS LANE CITY: ISLE OF PALMS STATE: SC ZIP: 29451 BUSINESS PHONE: 970-708-0607 MAIL ADDRESS: STREET 1: 48 SEAGRASS LANE CITY: ISLE OF PALMS STATE: SC ZIP: 29451 D 1 primary_doc.xml X0707 D LIVE 0001674459 Employers Health Network Holdings, LLC 48 SEAGRASS LANE ISLE OF PALMS SC SOUTH CAROLINA 29451 970-708-0607 DELAWARE None None Limited Liability Company true 2015 Orlo Dietrich, Jr. 48 Seagrass Lane Isle of Palms SC SOUTH CAROLINA 29451 Executive Officer Director Manager and Chief Executive Officer Russell D. Burks 48 Seagrass Lane Isle of Palms SC SOUTH CAROLINA 29451 Executive Officer Director Manager and Chief Financial Officer Charles E. Kramer 48 Seagrass Lane Isle of Palms SC SOUTH CAROLINA 29451 Director Manager LeAnn Boyd 48 Seagrass Lane Isle of Palms SC SOUTH CAROLINA 29451 Director Manager Steven T. Boyd 48 Seagrass Lane Isle of Palms SC SOUTH CAROLINA 29451 Director Manager Karen Streets 48 Seagrass Lane Isle of Palms SC SOUTH CAROLINA 29451 Director Manager Richard E. DeLater 48 Seagrass Lane Isle of Palms SC SOUTH CAROLINA 29451 Director Manager Deborah Hodges 48 Seagrass Lane Isle of Palms SC SOUTH CAROLINA 29451 Director Manager Rick Weisblatt 48 Seagrass Lane Isle of Palms SC SOUTH CAROLINA 29451 Director Manager Other Decline to Disclose 06b false 2016-05-02 false true true Limited Liability Company Interests false 0 6250000 6250000 0 false 9 0 0 0 false Employers Health Network Holdings, LLC /s/ Russell D. Burks Russell D. Burks Manager 2016-05-11