0001144204-17-062584.txt : 20171206 0001144204-17-062584.hdr.sgml : 20171206 20171206145536 ACCESSION NUMBER: 0001144204-17-062584 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20171206 DATE AS OF CHANGE: 20171206 EFFECTIVENESS DATE: 20171206 FILER: COMPANY DATA: COMPANY CONFORMED NAME: LIFEPlan CCO NY, LLC CENTRAL INDEX KEY: 0001723285 IRS NUMBER: 823070045 STATE OF INCORPORATION: NY FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-300184 FILM NUMBER: 171242097 BUSINESS ADDRESS: STREET 1: 1020 MARY STREET CITY: UTICA STATE: NY ZIP: 13501 BUSINESS PHONE: (315) 724-6907 MAIL ADDRESS: STREET 1: 1020 MARY STREET CITY: UTICA STATE: NY ZIP: 13501 D 1 primary_doc.xml X0708 D LIVE 0001723285 LIFEPlan CCO NY, LLC 1020 MARY STREET UTICA NY NEW YORK 13501 (315) 724-6907 x2270 NEW YORK None None Limited Liability Company true 2017 - Center for Disability Services, Inc. 22 Corporate Woods Boulevard 5th Floor Albany NY NEW YORK 12211 Promoter - Upstate Cerebral Palsy, Inc. 1020 Mary Street Utica NY NEW YORK 13501 Promoter Alan Krafchin c/o Center for Disability Services, Inc. 22 Corporate Woods Boulevard, 5th Floor Albany NY NEW YORK 12211 Executive Officer Director Louis Tehan c/o Upstate Cerebral Palsy, Inc. 1020 Mary Street Utica NY NEW YORK 13501 Executive Officer Director Other Health Care Decline to Disclose 06b false true false true false 0 2200000 0 2200000 false 0 0 0 0 false LIFEPlan CCO NY, LLC /s/ Alan Krafchin Alan Krafchin Manager 2017-11-21