0001792100-19-000001.txt : 20191025 0001792100-19-000001.hdr.sgml : 20191025 20191025150312 ACCESSION NUMBER: 0001792100-19-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20191025 DATE AS OF CHANGE: 20191025 EFFECTIVENESS DATE: 20191025 FILER: COMPANY DATA: COMPANY CONFORMED NAME: MedRehab Alliance Interstate LLC CENTRAL INDEX KEY: 0001792100 IRS NUMBER: 842677004 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-351892 FILM NUMBER: 191169540 BUSINESS ADDRESS: STREET 1: 1415 W. FOSTER AVE. CITY: CHICAGO STATE: IL ZIP: 60640 BUSINESS PHONE: 8472746933 MAIL ADDRESS: STREET 1: 1415 W. FOSTER AVE. CITY: CHICAGO STATE: IL ZIP: 60640 D 1 primary_doc.xml X0708 D LIVE 0001792100 MedRehab Alliance Interstate LLC 1415 W. FOSTER AVE. CHICAGO IL ILLINOIS 60640 8472746933 DELAWARE None None Limited Liability Company true 2019 John Callen 1415 W. Foster Ave. Chicago IL ILLINOIS 60640 Executive Officer Director William Lowe 1415 W. Foster Ave. Chicago IL ILLINOIS 60640 Director Jim Sutton 1415 W. Foster Ave. Chicago IL ILLINOIS 60640 Director Rahul Sharma 1415 W. Foster Ave. Chicago IL ILLINOIS 60640 Director Other Health Care Decline to Disclose 06b false 2019-10-17 false true false 1 Indefinite 150000 Indefinite false 2 0 0 0 false MedRehab Alliance Interstate LLC /s/ Rebecca Kanter Rebecca Kanter Attorney-in-Fact 2019-10-25