0001712083-17-000001.txt : 20170717 0001712083-17-000001.hdr.sgml : 20170717 20170717161817 ACCESSION NUMBER: 0001712083-17-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20170717 DATE AS OF CHANGE: 20170717 EFFECTIVENESS DATE: 20170717 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Essex Dialysis Partners, LLC CENTRAL INDEX KEY: 0001712083 IRS NUMBER: 815136353 STATE OF INCORPORATION: NJ FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-290907 FILM NUMBER: 17967734 BUSINESS ADDRESS: STREET 1: 83 HANOVER ROAD STREET 2: SUITE 290 CITY: FLORHAM PARK STATE: NJ ZIP: 07932 BUSINESS PHONE: 973-736-2212 MAIL ADDRESS: STREET 1: 83 HANOVER ROAD STREET 2: SUITE 290 CITY: FLORHAM PARK STATE: NJ ZIP: 07932 D 1 primary_doc.xml X0708 D LIVE 0001712083 Essex Dialysis Partners, LLC 83 HANOVER ROAD SUITE 290 FLORHAM PARK NJ NEW JERSEY 07932 973-736-2212 NEW JERSEY None None Limited Liability Company true 2016 Jeffrey W. Goodman 205 Hudson Street #1204 Hoboken NJ NEW JERSEY 07030 Executive Officer President & Manager Shivangi Patel 10 North Ridge Circle East Hanover NJ NEW JERSEY 07936 Executive Officer Manager - Secretary/Treasurer Gayithri Keshav 14 Brown Court Livingston NJ NEW JERSEY 07039 Executive Officer Manager - Vice President Other Health Care Decline to Disclose 06b false 2017-07-01 false true false 1000 1357413 1357413 0 false 11 0 0 NONE 0 false Essex Dialysis Partners, LLC Jeffrey W. Goodman Jeffrey W. Goodman, MD President 2017-07-17