0001678606-16-000001.txt : 20160712
0001678606-16-000001.hdr.sgml : 20160712
20160712150134
ACCESSION NUMBER: 0001678606-16-000001
CONFORMED SUBMISSION TYPE: D
PUBLIC DOCUMENT COUNT: 1
ITEM INFORMATION: 06b
FILED AS OF DATE: 20160712
DATE AS OF CHANGE: 20160712
EFFECTIVENESS DATE: 20160712
FILER:
COMPANY DATA:
COMPANY CONFORMED NAME: Square Care Provider Holdings, LLC
CENTRAL INDEX KEY: 0001678606
IRS NUMBER: 812894186
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: D
SEC ACT: 1933 Act
SEC FILE NUMBER: 021-266814
FILM NUMBER: 161763862
BUSINESS ADDRESS:
STREET 1: 1129 NORTHERN BLVD.
STREET 2: SUITE 101
CITY: MANHASSET
STATE: NY
ZIP: 11030
BUSINESS PHONE: 516-365-5570
MAIL ADDRESS:
STREET 1: 1129 NORTHERN BLVD.
STREET 2: SUITE 101
CITY: MANHASSET
STATE: NY
ZIP: 11030
D
1
primary_doc.xml
X0707
D
LIVE
0001678606
Square Care Provider Holdings, LLC
1129 NORTHERN BLVD.
SUITE 101
MANHASSET
NY
NEW YORK
11030
516-365-5570
DELAWARE
None
None
Limited Liability Company
true
2016
Simon
Prince
2012 Midlane South
Muttontown
NY
NEW YORK
11791
Executive Officer
Promoter
Additional individuals to be determined.
Pooled Investment Fund
Other Investment Fund
false
No Aggregate Net Asset Value
- 06b
false
true
true
true
true
true
Convertible Promissory Notes (automatically converts into Units of the Company)
false
10000
Indefinite
400000
Indefinite
false
0
0
0
100000
true
false
Square Care Provider Holdings, LLC
Simon Prince
Dr. Simon Prince
Chief Executive Officer
2016-07-12