0001765862-19-000001.txt : 20190129 0001765862-19-000001.hdr.sgml : 20190129 20190129104132 ACCESSION NUMBER: 0001765862-19-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20190129 DATE AS OF CHANGE: 20190129 EFFECTIVENESS DATE: 20190129 FILER: COMPANY DATA: COMPANY CONFORMED NAME: PAI Holding Co LLC CENTRAL INDEX KEY: 0001765862 IRS NUMBER: 823133846 STATE OF INCORPORATION: CT FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-331589 FILM NUMBER: 19547500 BUSINESS ADDRESS: STREET 1: 134 RIVER ROAD CITY: ESSEX STATE: CT ZIP: 06426 BUSINESS PHONE: (860)788-6404 MAIL ADDRESS: STREET 1: 134 RIVER ROAD CITY: ESSEX STATE: CT ZIP: 06426 D 1 primary_doc.xml X0708 D LIVE 0001765862 PAI Holding Co LLC 134 RIVER ROAD ESSEX CT CONNECTICUT 06426 (860) 788-6404 CONNECTICUT None None Limited Liability Company true 2018 Edgardo Mercadante 134 River Road Essex CT CONNECTICUT 06475 Executive Officer Director Promoter Thomas Menighan 7011 Clinton Court Annapolis MD MARYLAND 21403 Executive Officer Director Promoter Marc Bergschneider Starboard Pursue Care LLC 30 Jelliff Lane Southport CT CONNECTICUT 06890 Director Promoter Nicholas Mercadante 10 Mallard Drive Old Saybrook CT CONNECTICUT 06475 Executive Officer Director W. Robert Dahl 83 Pecksland Road Greenwich CT CONNECTICUT 06831 Director Other Health Care Decline to Disclose 06b false 2019-01-18 true true false 0 1500000 1131000 369000 false 7 0 0 0 Some offering proceeds may be utilized to fund executive officer salaries. The amount of such utilization has not yet been determined. false PAI Holding Co LLC /s/ Edgardo Mercadante Edgardo Mercadante Chariman 2019-01-28