0001728439-18-000001.txt : 20180117 0001728439-18-000001.hdr.sgml : 20180117 20180117170825 ACCESSION NUMBER: 0001728439-18-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20180117 DATE AS OF CHANGE: 20180117 EFFECTIVENESS DATE: 20180117 FILER: COMPANY DATA: COMPANY CONFORMED NAME: North American Specialty Hospital, LLC CENTRAL INDEX KEY: 0001728439 IRS NUMBER: 472413532 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-303474 FILM NUMBER: 18532155 BUSINESS ADDRESS: STREET 1: 518 17TH STREET, 17TH FLOOR CITY: DENVER STATE: CO ZIP: 80202 BUSINESS PHONE: 303-339-3676 MAIL ADDRESS: STREET 1: 518 17TH STREET, 17TH FLOOR CITY: DENVER STATE: CO ZIP: 80202 D 1 primary_doc.xml X0708 D LIVE 0001728439 North American Specialty Hospital, LLC 518 17TH STREET, 17TH FLOOR DENVER CO COLORADO 80202 303-339-3676 DELAWARE None None Limited Liability Company true 2014 Javier Barrios 518 17th Street, 17th Floor Denver CO COLORADO 80202 Executive Officer Member of Board of Managers Carlos Mendoza 518 17th Street, 17th Floor Denver CO COLORADO 80202 Executive Officer Member of Board of Managers James Mulvihill 518 17th Street, 17th Floor Denver CO COLORADO 80202 Executive Officer Member of the Board of Managers James T. Polsfut 518 17th Street, 17th Floor Denver CO COLORADO 80202 Executive Officer Member of Board of Managers, Chairman, and Chief Executive Officer Martin Rosenberg 518 17th Street, 17th Floor Denver CO COLORADO 80202 Executive Officer Member of Board of Managers Theodore Schlegel, Jr. 518 17th Street, 17th Floor Denver CO COLORADO 80202 Executive Officer Member of Board of Managers Hospitals and Physicians Decline to Disclose 06b false 2018-01-03 false true false 50000 3000000 250000 2750000 false 1 0 0 35000 true false North American Specialty Hospital, LLC /s/ James T. Polsfut James T. Polsfut Chief Executive Officer 2018-01-17