0001753751-22-000004.txt : 20220712 0001753751-22-000004.hdr.sgml : 20220712 20220712154616 ACCESSION NUMBER: 0001753751-22-000004 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20220712 DATE AS OF CHANGE: 20220712 EFFECTIVENESS DATE: 20220712 FILER: COMPANY DATA: COMPANY CONFORMED NAME: MPAC Healthcare Management, LLC CENTRAL INDEX KEY: 0001753751 IRS NUMBER: 475067556 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-452028 FILM NUMBER: 221079176 BUSINESS ADDRESS: STREET 1: 332 S. MICHIGAN AVE. STREET 2: SUITE 1100 CITY: CHICAGO STATE: IL ZIP: 60604 BUSINESS PHONE: 8886604425 MAIL ADDRESS: STREET 1: 332 S. MICHIGAN AVE. STREET 2: SUITE 1100 CITY: CHICAGO STATE: IL ZIP: 60604 D 1 primary_doc.xml X0708 D LIVE 0001753751 MPAC Healthcare Management, LLC 2045 W. Grand Avenue Suite B #34572 Chicago IL ILLINOIS 60612 312-724-8950 DELAWARE None None Limited Liability Company true Rutul Shah 2045 W. Grand Avenue Suite B #34572 Chicago IL ILLINOIS 60612 Director Isaac Dole 2045 W. Grand Avenue Suite B #34572 Chicago IL ILLINOIS 60612 Director Timothy J. Martinez 2045 W. Grand Avenue Suite B #34572 Chicago IL ILLINOIS 60612 Executive Officer Director Joseph McDonough 2045 W. Grand Avenue Suite B #34572 Chicago IL ILLINOIS 60612 Executive Officer Director Other Health Care Decline to Disclose 06b false 2022-06-28 false true false 0 1100000 300000 800000 false 3 0 0 0 false MPAC Healthcare Management, LLC /s/ Meagan O. Jones Meagan O. Jones Attorney for Issuer 2022-07-12