0001741769-23-000002.txt : 20231024 0001741769-23-000002.hdr.sgml : 20231024 20231024094658 ACCESSION NUMBER: 0001741769-23-000002 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20231024 DATE AS OF CHANGE: 20231024 EFFECTIVENESS DATE: 20231024 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Philadelphia Urgent Care Management, Inc. CENTRAL INDEX KEY: 0001741769 IRS NUMBER: 811422787 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-495471 FILM NUMBER: 231341412 BUSINESS ADDRESS: STREET 1: TWO BALA PLAZA STREET 2: 333 EAST CITY AVENUE, SUITE 402 CITY: BALA CYNWYD STATE: PA ZIP: 19004 BUSINESS PHONE: (215) 999-6060 MAIL ADDRESS: STREET 1: TWO BALA PLAZA STREET 2: 333 EAST CITY AVENUE, SUITE 402 CITY: BALA CYNWYD STATE: PA ZIP: 19004 D 1 primary_doc.xml X0708 D LIVE 0001741769 Philadelphia Urgent Care Management, Inc. Two Bala Plaza 333 East City Avenue, Suite 402 Bala Cynwyd PA PENNSYLVANIA 19004 (215) 999-6060 DELAWARE None None Corporation true Peter Hotz Two Bala Plaza 333 East City Avenue, Suite 402 Bala Cynwyd PA PENNSYLVANIA 19004 Executive Officer Director Director, President, Chief Executive Officer and Secretary Michael Raphael Two Bala Plaza 333 East City Avenue, Suite 402 Bala Cynwyd PA PENNSYLVANIA 19004 Executive Officer Director Director and Treasurer Kapila Ratnam Two Bala Plaza 333 East City Avenue, Suite 402 Bala Cynwyd PA PENNSYLVANIA 19004 Director Jay Feldstein Two Bala Plaza 333 East City Avenue, Suite 402 Bala Cynwyd PA PENNSYLVANIA 19004 Executive Officer Director Chairman of the Board and Director Brian Schaller Two Bala Plaza 333 East City Avenue, Suite 402 Bala Cynwyd PA PENNSYLVANIA 19004 Director Christopher Marchese Two Bala Plaza 333 East City Avenue, Suite 402 Bala Cynwyd PA PENNSYLVANIA 19004 Executive Officer Chief Operating Officer Business Services Decline to Disclose 06b false 2023-07-07 false true false 0 10112171 8937171 1175000 false 8 0 0 0 false Philadelphia Urgent Care Management, Inc. /s/ Peter Hotz Peter Hotz Chief Executive Officer 2023-10-16