0001686851-16-000001.txt : 20161012 0001686851-16-000001.hdr.sgml : 20161012 20161011173800 ACCESSION NUMBER: 0001686851-16-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20161012 DATE AS OF CHANGE: 20161011 EFFECTIVENESS DATE: 20161012 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Nextlevel Health Partners, Inc. CENTRAL INDEX KEY: 0001686851 IRS NUMBER: 810851071 STATE OF INCORPORATION: IL FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-272236 FILM NUMBER: 161931961 BUSINESS ADDRESS: STREET 1: 303 WEST MADISON STREET, SUITE 1110 STREET 2: ATTN: MARK A. CHUDZINSKI, GENERAL COUNSE CITY: CHICAGO STATE: IL ZIP: 60606 BUSINESS PHONE: (312)300-5780 MAIL ADDRESS: STREET 1: 303 WEST MADISON STREET, SUITE 1110 STREET 2: ATTN: MARK A. CHUDZINSKI, GENERAL COUNSE CITY: CHICAGO STATE: IL ZIP: 60606 D 1 primary_doc.xml X0707 D LIVE 0001686851 Nextlevel Health Partners, Inc. 303 WEST MADISON STREET, SUITE 1110 ATN: MARK A. CHUDZINSKI, GENERAL COUNSEL CHICAGO IL ILLINOIS 60606 (312)300-5780 ILLINOIS None None Corporation true 2015 Cheryl Whitaker 303 WEST MADISON STREET SUITE 1110 CHICAGO IL ILLINOIS 60606 Executive Officer Director CEO; Director; Board Chairman Thomas Fisher 303 WEST MADISON STREET SUITE 1110 CHICAGO IL ILLINOIS 60606 Executive Officer President Keith Wolski 303 WEST MADISON STREET SUITE 1110 CHICAGO IL ILLINOIS 60606 Executive Officer Chief Financial Officer Kristy Woods 303 WEST MADISON STREET SUITE 1110 CHICAGO IL ILLINOIS 60606 Executive Officer Chief Medical Officer Michael Kinne 303 WEST MADISON STREET SUITE 1110 CHICAGO IL ILLINOIS 60606 Executive Officer Senior Advisor Mark Chudzinski 303 WEST MADISON STREET SUITE 1110 CHICAGO IL ILLINOIS 60606 Executive Officer General Counsel Terrell Anderson 303 WEST MADISON STREET SUITE 1110 CHICAGO IL ILLINOIS 60606 Executive Officer Senior Director of Operations Ivan Brown 303 WEST MADISON STREET SUITE 1110 CHICAGO IL ILLINOIS 60606 Executive Officer Director of Human Resources Ninos David 303 WEST MADISON STREET SUITE 1110 CHICAGO IL ILLINOIS 60606 Executive Officer Director of Quality Tanya Ford 303 WEST MADISON STREET SUITE 1110 CHICAGO IL ILLINOIS 60606 Executive Officer Compliance Officer Michelle Gilliam 303 WEST MADISON STREET SUITE 1110 CHICAGO IL ILLINOIS 60606 Executive Officer Director of Provider Services and Network Management Joaquin Hernandez-Rico 303 WEST MADISON STREET SUITE 1110 CHICAGO IL ILLINOIS 60606 Executive Officer Director of Information Technology James Otto 303 WEST MADISON STREET SUITE 1110 CHICAGO IL ILLINOIS 60606 Executive Officer Controller Jessica Pickens 303 WEST MADISON STREET SUITE 1110 CHICAGO IL ILLINOIS 60606 Executive Officer Director of External Affairs Regina Porter 303 WEST MADISON STREET SUITE 1110 CHICAGO IL ILLINOIS 60606 Executive Officer Director of Utilization Management Helaina Vandyke 303 WEST MADISON STREET SUITE 1110 CHICAGO IL ILLINOIS 60606 Executive Officer Director of Health Informatics Bruce Wegner 303 WEST MADISON STREET SUITE 1110 CHICAGO IL ILLINOIS 60606 Executive Officer Director of Claims Sebastion Williams 303 WEST MADISON STREET SUITE 1110 CHICAGO IL ILLINOIS 60606 Executive Officer Director of Care Management Natasha Pryor 303 WEST MADISON STREET SUITE 1110 CHICAGO IL ILLINOIS 60606 Executive Officer Director of Member Services Rodney Armstead 303 WEST MADISON STREET SUITE 1110 CHICAGO IL ILLINOIS 60606 Director Director Regina Benjamin 303 WEST MADISON STREET SUITE 1110 CHICAGO IL ILLINOIS 60606 Director Director Justin Dearborn 303 WEST MADISON STREET SUITE 1110 CHICAGO IL ILLINOIS 60606 Director Director Robert Jordan 303 WEST MADISON STREET SUITE 1110 CHICAGO IL ILLINOIS 60606 Director Director Health Insurance Decline to Disclose 06b false 2016-09-30 false true Convertible Note false NOT APPLICABLE 25000 E.L.K. Capital Advisors, LLC 134999 None None 40 Skokie Boulevard Suite 430 Northbrook IL ILLINOIS 60062 IL ILLINOIS CT CONNECTICUT FL FLORIDA CA CALIFORNIA false 5000000 4300000 700000 false 11 0 0 0 NONE, EXCEPT IN THE ORDINARY COURSE OF BUSINESS false Nextlevel Health Partners, Inc. Anthony Zeoli Anthony Zeoli Attorney 2016-10-11