0001689808-16-000001.txt : 20161110 0001689808-16-000001.hdr.sgml : 20161110 20161110101947 ACCESSION NUMBER: 0001689808-16-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b ITEM INFORMATION: 4a5 FILED AS OF DATE: 20161110 DATE AS OF CHANGE: 20161110 EFFECTIVENESS DATE: 20161110 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Legacy Hospice Holdings, Inc. CENTRAL INDEX KEY: 0001689808 IRS NUMBER: 812957512 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-274213 FILM NUMBER: 161986408 BUSINESS ADDRESS: STREET 1: 216-B WASHINGTON STREET CITY: LIVINGSTON STATE: AL ZIP: 35470 BUSINESS PHONE: 877-652-6167 MAIL ADDRESS: STREET 1: 216-B WASHINGTON STREET CITY: LIVINGSTON STATE: AL ZIP: 35470 D 1 primary_doc.xml X0707 D LIVE 0001689808 Legacy Hospice Holdings, Inc. 216-B WASHINGTON STREET LIVINGSTON AL ALABAMA 35470 877-652-6167 DELAWARE None None Corporation true 2016 Bobby T Williams P.O. Box 1058 Livingston AL ALABAMA 35470 Executive Officer Director Promoter Other Health Care Decline to Disclose 06b 4a5 false 2016-11-02 false true true 0 None None None None NA NA AL ALABAMA 12345 AL ALABAMA AR ARKANSAS GA GEORGIA LA LOUISIANA MS MISSISSIPPI TX TEXAS VA VIRGINIA false Indefinite 0 Indefinite Interests were not sold for any dollar amounts. This is a deemed sale as a result of a merger. Interests held by owners of the merged entities were swapped for interests in the resulting, newly formed entity. false 41 0 0 No sales commissions or finders' fees will be paid. 0 None. false Legacy Hospice Holdings, Inc. Dr. Bobby T. Williams Dr. Bobby T. Williams Chairman and CEO 2016-11-10