0001709925-19-000001.txt : 20190828 0001709925-19-000001.hdr.sgml : 20190828 20190828162839 ACCESSION NUMBER: 0001709925-19-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20190828 DATE AS OF CHANGE: 20190828 EFFECTIVENESS DATE: 20190828 FILER: COMPANY DATA: COMPANY CONFORMED NAME: WP CityMD Topco LLC CENTRAL INDEX KEY: 0001709925 IRS NUMBER: 811318815 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-347587 FILM NUMBER: 191062287 BUSINESS ADDRESS: STREET 1: C/O WARBURG PINCUS LLC STREET 2: 450 LEXINGTON AVENUE CITY: NEW YORK STATE: NY ZIP: 10017 BUSINESS PHONE: 212-878-0600 MAIL ADDRESS: STREET 1: C/O WARBURG PINCUS LLC STREET 2: 450 LEXINGTON AVENUE CITY: NEW YORK STATE: NY ZIP: 10017 D 1 primary_doc.xml X0708 D LIVE 0001709925 WP CityMD Topco LLC 1345 Avenue of the Americas, 8th Floor NEW YORK NY NEW YORK 10105 212-913-0828 DELAWARE None None Limited Liability Company true 2017 Jeffrey LeBenger Lawrence Pavilion, 2nd Floor 1 Diamond Hill Road Berkeley Heights NJ NEW JERSEY 07922 Executive Officer Director Adam Krainson c/o Warburg Pincus 450 Lexington Avenue New York NY NEW YORK 10017 Executive Officer Director Thomas (TJ) Carella c/o Warburg Pincus 450 Lexington Avenue New York NY NEW YORK 10017 Executive Officer Director Mark Tabak c/o Legal Department 1345 Avenue of the Americas, 8th Floor New York NY NEW YORK 10105 Director Jeff Alter c/o Legal Department 1345 Avenue of the Americas, 8th Floor New York NY NEW YORK 10105 Director Adam Barrison Lawrence Pavilion, 2nd Floor 1 Diamond Hill Road Berkeley Heights NJ NEW JERSEY 07922 Director Richard Park 1345 Avenue of the Americas 8th Floor New York NY NEW YORK 10105 Director Other Health Care Decline to Disclose 06b false 2019-08-13 false true true Equity issued upon consummation of the transactions contemplated by the Transaction Agreement, dated June 13, 2019, by and between WP CityMD Topco LLC, Zoonie, LLC, Summit Medical Group, P.A. and certain other parties thereto. 0 607296079 607296079 0 false 422 0 0 0 false WP CityMD Topco LLC /s/ Jeffrey LeBenger Jeffrey LeBenger MD, CEO 2019-08-28