0001140361-17-007951.txt : 20170216
0001140361-17-007951.hdr.sgml : 20170216
20170216162937
ACCESSION NUMBER: 0001140361-17-007951
CONFORMED SUBMISSION TYPE: D
PUBLIC DOCUMENT COUNT: 1
ITEM INFORMATION: 06b
FILED AS OF DATE: 20170216
DATE AS OF CHANGE: 20170216
EFFECTIVENESS DATE: 20170216
FILER:
COMPANY DATA:
COMPANY CONFORMED NAME: Avalon Health Services, LLC
CENTRAL INDEX KEY: 0001696920
IRS NUMBER: 463019902
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: D
SEC ACT: 1933 Act
SEC FILE NUMBER: 021-280876
FILM NUMBER: 17618277
BUSINESS ADDRESS:
STREET 1: 3405 W. DR. MARTIN LUTHER KING JR. BLVD.
STREET 2: SUITE 200
CITY: TAMPA
STATE: FL
ZIP: 33607
BUSINESS PHONE: 813-751-3800
MAIL ADDRESS:
STREET 1: 3405 W. DR. MARTIN LUTHER KING JR. BLVD.
STREET 2: SUITE 200
CITY: TAMPA
STATE: FL
ZIP: 33607
D
1
primary_doc.xml
X0707
D
LIVE
0001696920
Avalon Health Services, LLC
3405 W. Dr. Martin Luther King Jr. Blvd.
Tampa
FL
FLORIDA
33607
813-751-3800
DELAWARE
None
None
Limited Liability Company
true
2013
William
Kerr
c/o Avalon Health Services, LLC
3405 W. M.L. King Jr. Blvd., Ste. 200
Tampa
FL
FLORIDA
33607
Executive Officer
Director
Gregg
Haddad
c/o Avalon Health Services, LLC
3405 W. M.L. King Jr. Blvd., Ste. 200
Tampa
FL
FLORIDA
33607
Executive Officer
Steve
Morgan
c/o Avalon Health Services, LLC
3405 W. M.L. King Jr. Blvd., Ste. 200
Tampa
FL
FLORIDA
33607
Executive Officer
Adam
Boehler
1 Letterman Dr., Bldg. C, Ste. 410
San Francisco
CA
CALIFORNIA
94129
Director
David
Klein
c/o Avalon Health Services, LLC
3405 W. M.L. King Jr. Blvd., Ste. 200
Tampa
FL
FLORIDA
33607
Director
Ezra
Perlman
1 Letterman Dr., Bldg. C, Ste. 410
San Francisco
CA
CALIFORNIA
94129
Director
Andrew
Sekel
c/o Avalon Health Services, LLC
3405 W. Dr. M.L. King Jr. Blvd., Ste. 20
Tampa
FL
FLORIDA
78731
Director
Alon
Krashinsky
1 Letterman Dr., Bldg. C, Ste. 410
San Francisco
CA
CALIFORNIA
94129
Director
Robert
Coppedge
1 Letterman Dr., Bldg. C, Ste. 410
San Francisco
CA
CALIFORNIA
94129
Director
J.
Anderson
Folsom
I-20 at Alpine Rd.
Columbia
SC
SOUTH CAROLINA
29219
Director
Other Health Care
Decline to Disclose
- 06b
false
2016-12-23
false
true
false
0
29272066
29272066
0
false
5
0
0
0
false
Avalon Health Services, LLC
/s/ Steve Morgan
Steve Morgan
General Counsel of Issuer
2017-02-06