0001010549-21-000233.txt : 20211015 0001010549-21-000233.hdr.sgml : 20211015 20211015123859 ACCESSION NUMBER: 0001010549-21-000233 CONFORMED SUBMISSION TYPE: D/A PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20211015 DATE AS OF CHANGE: 20211015 EFFECTIVENESS DATE: 20211015 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Physicians Integrated Network, LLC CENTRAL INDEX KEY: 0001723003 IRS NUMBER: 472141786 STATE OF INCORPORATION: TX FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D/A SEC ACT: 1933 Act SEC FILE NUMBER: 021-374541 FILM NUMBER: 211325521 BUSINESS ADDRESS: STREET 1: 17300 N. DALLAS PARKWAY STREET 2: SUITE 3010 CITY: DALLAS STATE: TX ZIP: 75248 BUSINESS PHONE: 469-250-1740 MAIL ADDRESS: STREET 1: 17300 N. DALLAS PARKWAY STREET 2: SUITE 3010 CITY: DALLAS STATE: TX ZIP: 75248 FORMER COMPANY: FORMER CONFORMED NAME: Physicians Integrated Network, LP DATE OF NAME CHANGE: 20171116 D/A 1 primary_doc.xml X0708 D/A LIVE 0001723003 Physicians Integrated Network, LLC 17300 DALLAS PARKWAY SUITE 3010 DALLAS TX TEXAS 75248 214-954-4135 TEXAS None Physicians Integrated Network, LP Limited Liability Company true John Moore, M.D. 17300 Dallas Parkway Suite 3010 Dallas TX TEXAS 75248 Executive Officer Director Rick Grizzle 17300 Dallas Parkway Suite 3010 Dallas TX TEXAS 75248 Director Sam Lee 17300 Dallas Parkway Suite 3010 Dallas TX TEXAS 75248 Director Steve Lieman 17300 Dallas Parkway Suite 3010 Dallas TX TEXAS 75248 Director Guy Culpepper 17300 Dallas Parkway Suite 3010 Dallas TX TEXAS 75248 Director Scott Goldstein 17300 Dallas Parkway Suite 3010 Dallas TX TEXAS 75248 Director Frank Roby 17300 Dallas Parkway Suite 3010 Dallas TX TEXAS 75248 Director Other Health Care $1,000,001 - $5,000,000 06b true 0001723003-20-000002 2020-07-24 true true false 1500 None None None None NONE NONE X1 UNITED STATES None CO COLORADO LA LOUISIANA NC NORTH CAROLINA OK OKLAHOMA TX TEXAS false Indefinite 2755370 Indefinite May conduct integrated offerings in additional states. Currently no total offering amount. false 150 0 0 0 false Physicians Integrated Network, LLC /s/ John Moore, M.D. John Moore, M.D. President; Chairman of the Board of Mangers of the General P 2020-08-25