0001767853-19-000001.txt : 20190214 0001767853-19-000001.hdr.sgml : 20190214 20190214132402 ACCESSION NUMBER: 0001767853-19-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20190214 DATE AS OF CHANGE: 20190214 EFFECTIVENESS DATE: 20190214 FILER: COMPANY DATA: COMPANY CONFORMED NAME: CPIV Haven Holdings, LLC CENTRAL INDEX KEY: 0001767853 IRS NUMBER: 371832134 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-332862 FILM NUMBER: 19603987 BUSINESS ADDRESS: STREET 1: 140 BROADWAY - 16TH FLOOR CITY: NEW YORK STATE: NY ZIP: 10005 BUSINESS PHONE: (212) 483-1818 MAIL ADDRESS: STREET 1: 140 BROADWAY - 16TH FLOOR CITY: NEW YORK STATE: NY ZIP: 10005 D 1 primary_doc.xml X0708 D LIVE 0001767853 CPIV Haven Holdings, LLC 140 BROADWAY - 16TH FLOOR NEW YORK NY NEW YORK 10005 (212) 483-1818 DELAWARE None None Limited Liability Company true 2016 Bradley M. Langer 140 Broadway - 16th Floor New York NY NEW YORK 10005 Executive Officer Director Michael G. Lindley 140 Broadway - 16th Floor New York NY NEW YORK 10005 Executive Officer Director Former Officer and Director of the Issuer. Ivan A. Pirzada 140 Broadway - 16th Floor New York NY NEW YORK 10005 Director Joseph P. Donlan 140 Broadway - 16th Floor New York NY NEW YORK 10005 Director Kathryn C. George 140 Broadway - 16th Floor New York NY NEW YORK 10005 Director Kathy L. Bolmer 140 Broadway - 16th Floor New York NY NEW YORK 10005 Director Maria T. Carney 140 Broadway - 16th Floor New York NY NEW YORK 10005 Director David Middleton 140 Broadway - 16th Floor New York NY NEW YORK 10005 Director Other Health Care Decline to Disclose 06b false 2019-01-31 false true false 284963 3750000 3750000 0 false 2 0 0 0 false CPIV Haven Holdings, LLC /s/Bradley M. Langer Bradley M. Langer Manager 2019-02-14