0001567619-20-011895.txt : 20200609 0001567619-20-011895.hdr.sgml : 20200609 20200609165946 ACCESSION NUMBER: 0001567619-20-011895 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20200609 DATE AS OF CHANGE: 20200609 EFFECTIVENESS DATE: 20200609 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Provider Pool Co. CENTRAL INDEX KEY: 0001814581 IRS NUMBER: 832011299 STATE OF INCORPORATION: MO FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-368586 FILM NUMBER: 20952600 BUSINESS ADDRESS: STREET 1: 211 N BROADWAY STREET 2: SUITE 2200 CITY: SAINT LOUIS STATE: MO ZIP: 63102 BUSINESS PHONE: 618-214-6897 MAIL ADDRESS: STREET 1: 211 N BROADWAY STREET 2: SUITE 2200 CITY: SAINT LOUIS STATE: MO ZIP: 63102 D 1 primary_doc.xml X0708 D LIVE 0001814581 Provider Pool Co. 211 N BROADWAY SUITE 2200 SAINT LOUIS MO MISSOURI 63102 618-214-6897 MISSOURI None None Corporation true 2018 Janna Westbrook 211 N. Broadway Suite 2200 Saint Louis MO MISSOURI 63102 Executive Officer Director Other Health Care Decline to Disclose 06b false 2020-05-26 false true true false 50000 Indefinite 100000 Indefinite false 2 0 0 0 false Provider Pool Co. Janna Westbrook Janna Westbrook Chief Executive Officer 2020-06-05