0001717357-17-000001.txt : 20170926 0001717357-17-000001.hdr.sgml : 20170926 20170926163130 ACCESSION NUMBER: 0001717357-17-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20170926 DATE AS OF CHANGE: 20170926 EFFECTIVENESS DATE: 20170926 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Physicians United Anesthesia, LLC CENTRAL INDEX KEY: 0001717357 IRS NUMBER: 821662823 STATE OF INCORPORATION: AZ FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-295437 FILM NUMBER: 171102446 BUSINESS ADDRESS: STREET 1: 3782 S. WHITE DR. CITY: CHANDLER STATE: AZ ZIP: 85286 BUSINESS PHONE: 6023826872 MAIL ADDRESS: STREET 1: 3782 S. WHITE DR. CITY: CHANDLER STATE: AZ ZIP: 85286 D 1 primary_doc.xml X0708 D LIVE 0001717357 Physicians United Anesthesia, LLC 3782 S. WHITE DR. CHANDLER AZ ARIZONA 85286 (480)527-1586 ARIZONA None None Limited Liability Company true 2017 Jerod Bowen 3782 S. White Dr. Chandler AZ ARIZONA 85286 Executive Officer Managing Member of JMB Ventures LLC, the Manager of the Issuer Hospitals and Physicians Decline to Disclose 06b false true true true false 2000 200000 0 200000 false 0 0 0 0 false Physicians United Anesthesia, LLC /s/ Jerod Bowen Jerod Bowen Managing Member of JMB Ventures LLC, Manager of the Issuer 2017-09-14