0001780043-19-000001.txt : 20190618 0001780043-19-000001.hdr.sgml : 20190618 20190618134957 ACCESSION NUMBER: 0001780043-19-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20190618 DATE AS OF CHANGE: 20190618 EFFECTIVENESS DATE: 20190618 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Provider Resources, Inc. CENTRAL INDEX KEY: 0001780043 IRS NUMBER: 800077353 STATE OF INCORPORATION: PA FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-342199 FILM NUMBER: 19903249 BUSINESS ADDRESS: STREET 1: 153 EAST 13TH STREET, SUITE 1400 CITY: ERIE STATE: PA ZIP: 16503 BUSINESS PHONE: 814-480-8732 MAIL ADDRESS: STREET 1: 153 EAST 13TH STREET, SUITE 1400 CITY: ERIE STATE: PA ZIP: 16503 D 1 primary_doc.xml X0708 D LIVE 0001780043 Provider Resources, Inc. 153 EAST 13TH STREET, SUITE 1400 ERIE PA PENNSYLVANIA 16503 814-480-8732 PENNSYLVANIA None None Corporation true Shawn Keough-Hartz 153 East 13th Street Suite 1400 Erie PA PENNSYLVANIA 16503 Executive Officer Other Health Care $5,000,001 - $25,000,000 06b false 2019-06-17 true true false 0 55000 55000 0 false 4 0 0 0 false Provider Resources, Inc. Shawn Keough-Hartz Shawn Keough-Hartz CEO/President 2019-06-18