0001791034-21-000001.txt : 20210512 0001791034-21-000001.hdr.sgml : 20210512 20210511183731 ACCESSION NUMBER: 0001791034-21-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20210512 DATE AS OF CHANGE: 20210511 EFFECTIVENESS DATE: 20210512 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Florence Healthcare, Inc. CENTRAL INDEX KEY: 0001791034 IRS NUMBER: 471578719 STATE OF INCORPORATION: GA FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-399016 FILM NUMBER: 21912872 BUSINESS ADDRESS: STREET 1: 600 PEACHTREE ST. NE STREET 2: SUITE 920 CITY: ATLANTA STATE: GA ZIP: 30308 BUSINESS PHONE: 617-461-4573 MAIL ADDRESS: STREET 1: 600 PEACHTREE ST. NE STREET 2: SUITE 920 CITY: ATLANTA STATE: GA ZIP: 30308 D 1 primary_doc.xml X0708 D LIVE 0001791034 Florence Healthcare, Inc. 600 PEACHTREE ST. NE SUITE 920 ATLANTA GA GEORGIA 30308 617-461-4573 GEORGIA None None Corporation true Ryan Jones 600 Peachtree St. NE Suite 920 Atlanta GA GEORGIA 30308 Executive Officer Director Andres Garcia 600 Peachtree St. NE Suite 920 Atlanta GA GEORGIA 30308 Executive Officer Director Garrett Goldberg 600 Peachtree St. NE Suite 920 Atlanta GA GEORGIA 30308 Director Carla Balch 600 Peachtree St. NE Suite 920 Atlanta GA GEORGIA 30308 Director Jeffrey Muir 600 Peachtree St. NE Suite 920 Atlanta GA GEORGIA 30308 Director Jon Rosenbaum 600 Peachtree St. NE Suite 920 Atlanta GA GEORGIA 30308 Director Peter Sobiloff 600 Peachtree St. NE Suite 920 Atlanta GA GEORGIA 30308 Director Other Technology Decline to Disclose 06b false 2021-04-28 false true false 0 21693479 19445797 2247682 false 15 0 0 0 false Florence Healthcare, Inc. /s/ Ryan Jones Ryan Jones Chief Executive Officer 2021-05-11