0001015325-17-000038.txt : 20170726 0001015325-17-000038.hdr.sgml : 20170726 20170726140157 ACCESSION NUMBER: 0001015325-17-000038 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20170726 DATE AS OF CHANGE: 20170726 EFFECTIVENESS DATE: 20170726 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Central States Dermatology Services, LLC CENTRAL INDEX KEY: 0001712950 IRS NUMBER: 820771814 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-291529 FILM NUMBER: 17982350 BUSINESS ADDRESS: STREET 1: 400 N. MICHIGAN AVENUE #900 CITY: CHICAGO STATE: IL ZIP: 60611 BUSINESS PHONE: (312) 273-6508 MAIL ADDRESS: STREET 1: 400 N. MICHIGAN AVENUE #900 CITY: CHICAGO STATE: IL ZIP: 60611 D 1 primary_doc.xml X0708 D LIVE 0001712950 Central States Dermatology Services, LLC 400 N. MICHIGAN AVENUE #900 CHICAGO IL ILLINOIS 60611 (312) 273-6508 DELAWARE None None Limited Liability Company true 2017 Jonathan B Lewis c/o Central States Dermatology Services, 400 N. Michigan Avenue #900 Chicago IL ILLINOIS 60611 Executive Officer Director Promoter John J Macke c/o Central States Dermatology Services, 400 N. Michigan Avenue #900 Chicago IL ILLINOIS 60611 Executive Officer Stephen Murdock c/o Central States Dermatology Services, 400 N. Michigan Avenue #900 Chicago IL ILLINOIS 60611 Executive Officer Sean M Dempsey c/o Central States Dermatology Services, 400 N. Michigan Avenue #900 Chicago IL ILLINOIS 60611 Executive Officer Promoter Timothy P Wheeler c/o Central States Dermatology Services, 400 N. Michigan Avenue #900 Chicago IL ILLINOIS 60611 Executive Officer Promoter Other Health Care Decline to Disclose 06b false 2017-07-12 false true false 200000 200000 200000 0 false 1 0 0 0 false Central States Dermatology Services, LLC /s/ Jonathan B. Lewis Jonathan B. Lewis Manager 2017-07-25