0001788969-19-000001.txt : 20190924 0001788969-19-000001.hdr.sgml : 20190924 20190924103331 ACCESSION NUMBER: 0001788969-19-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20190924 DATE AS OF CHANGE: 20190924 EFFECTIVENESS DATE: 20190924 FILER: COMPANY DATA: COMPANY CONFORMED NAME: AJR Physician Holdings, LLC CENTRAL INDEX KEY: 0001788969 IRS NUMBER: 843104114 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-349475 FILM NUMBER: 191109534 BUSINESS ADDRESS: STREET 1: 4225 GENESEE STREET CITY: CHEEKTOWAGA STATE: NY ZIP: 14225 BUSINESS PHONE: 716-864-9700 MAIL ADDRESS: STREET 1: 4225 GENESEE STREET CITY: CHEEKTOWAGA STATE: NY ZIP: 14225 D 1 primary_doc.xml X0708 D LIVE 0001788969 AJR Physician Holdings, LLC 4225 GENESEE STREET CHEEKTOWAGA NY NEW YORK 14225 716-204-3217 DELAWARE None None Limited Liability Company true 2018 Brian McGrath 4225 GENESEE STREET CHEEKTOWAGA NY NEW YORK 14225 Executive Officer Director Matthew Phillips 4225 Genesee Street CHEEKTOWAGA NY NEW YORK 14225 Director Andrew Stoeckl 4225 GENESEE STREET CHEEKTOWAGA NY NEW YORK 14225 Director David Miller 4225 GENESEE STREET CHEEKTOWAGA NY NEW YORK 14225 Director Hospitals and Physicians Decline to Disclose 06b false 2019-09-06 false true false 30000 360000 360000 0 false 12 0 0 0 false AJR Physician Holdings, LLC /s/ Brian McGrath Brian McGrath President 2019-09-24