0001788363-19-000002.txt : 20190916 0001788363-19-000002.hdr.sgml : 20190916 20190916135618 ACCESSION NUMBER: 0001788363-19-000002 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20190916 DATE AS OF CHANGE: 20190916 EFFECTIVENESS DATE: 20190916 FILER: COMPANY DATA: COMPANY CONFORMED NAME: White Mountain Surgical Partners, LLC CENTRAL INDEX KEY: 0001788363 IRS NUMBER: 834109264 STATE OF INCORPORATION: AZ FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-348911 FILM NUMBER: 191094341 BUSINESS ADDRESS: STREET 1: 2200 SHOW LOW LAKE ROAD CITY: SHOW LOW STATE: AZ ZIP: 85091 BUSINESS PHONE: 928-537-6399 MAIL ADDRESS: STREET 1: 2200 SHOW LOW LAKE ROAD CITY: SHOW LOW STATE: AZ ZIP: 85091 D 1 primary_doc.xml X0708 D LIVE 0001788363 White Mountain Surgical Partners, LLC 2200 SHOW LOW LAKE ROAD SHOW LOW AZ ARIZONA 85091 928-537-6399 ARIZONA None None Limited Liability Company true 2019 Douglas G Gilchrist 2200 Show Low Lake Road Show Low AZ ARIZONA 85091 Executive Officer Member of Board of Managers David W Rothberger 2200 Show Low Lake Road Show Low AZ ARIZONA 85091 Executive Officer Member of Board of Managers Kenneth R Allen 2200 Show Low Lake Road Show Low AZ ARIZONA 85091 Executive Officer Member of Board of Managers Other Health Care No Revenues 06b false 2019-08-31 false true false 6675 841050 0 841050 true 2 6 0 0 Member of Board of Managers 0 Member of Board of Managers false White Mountain Surgical Partners, LLC Timothy W. Kennedy Timothy W. Kennedy Counsel 2019-09-16