0001707163-17-000001.txt : 20170615 0001707163-17-000001.hdr.sgml : 20170615 20170615105456 ACCESSION NUMBER: 0001707163-17-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20170615 DATE AS OF CHANGE: 20170615 EFFECTIVENESS DATE: 20170615 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Summit Medical Group, LLC CENTRAL INDEX KEY: 0001707163 IRS NUMBER: 384006569 STATE OF INCORPORATION: WY FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-288802 FILM NUMBER: 17912703 BUSINESS ADDRESS: STREET 1: 15726 FOX MEADOW LANE CITY: FRISCO STATE: TX ZIP: 75035 BUSINESS PHONE: 2148938619 MAIL ADDRESS: STREET 1: 15726 FOX MEADOW LANE CITY: FRISCO STATE: TX ZIP: 75035 D 1 primary_doc.xml X0707 D LIVE 0001707163 Summit Medical Group, LLC 15726 FOX MEADOW LANE FRISCO TX TEXAS 75035 2148938619 WYOMING None None Limited Liability Company true 2016 Eugene Gicheru 15726 Fox Meadow Ln Frisco TX TEXAS 75035 Executive Officer Director Eugene Gicheru is the President and a Board of Directors member of Summit Medical Group, LLC Lawrence Bean 402 Wyndemere Blvd Heath TX TEXAS 75032 Executive Officer Director Lawrence Bean is the Chief Executive Officer and a Board of Directors member of Summit Medical Group, LLC Darrel Morrison 1014 Redbud Drive Allen TX TEXAS 75002 Executive Officer Director Darrel Morrison is the Chief Operating Officer and a Board of Directors member of Summit Medical Group, LLC Ryan Parker 5629 Richard Ave Dallas TX TEXAS 76206 Executive Officer Director Ryan Parker is the Chief Experience Officer and a Board of Directors member of Summit Medical Group, LLC Javier Caldera-Nieves 500 Pistachio Circle Irving TX TEXAS 75063 Executive Officer Director Javier Caldera-Nieves is the Chief Medical Officer and a Board of Directors member of Summit Medical Group, LLC Jessica Kisicki 1223 Jessi Drive Cheyenne WY WYOMING 82009 Executive Officer Jessica Kisicki is the Medical Director for Summit Medical Group, LLC Hospitals and Physicians Decline to Disclose 06b false true false true false 30000 720000 0 720000 false 0 0 0 0 false Summit Medical Group, LLC /s/Eugene Gicheru Eugene Gicheru President 2017-06-15