0001818703-21-000003.txt : 20211123 0001818703-21-000003.hdr.sgml : 20211123 20211123144846 ACCESSION NUMBER: 0001818703-21-000003 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20211123 DATE AS OF CHANGE: 20211123 EFFECTIVENESS DATE: 20211123 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Village Practice Management Company, LLC CENTRAL INDEX KEY: 0001818703 IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-422249 FILM NUMBER: 211437563 BUSINESS ADDRESS: STREET 1: 125 S. CLARK STREET STREET 2: SUITE 900 CITY: CHICAGO STATE: IL ZIP: 60603 BUSINESS PHONE: 312-495-7900 MAIL ADDRESS: STREET 1: 125 S. CLARK STREET STREET 2: SUITE 900 CITY: CHICAGO STATE: IL ZIP: 60603 D 1 primary_doc.xml X0708 D LIVE 0001818703 Village Practice Management Company, LLC 125 S. CLARK STREET SUITE 900 CHICAGO IL ILLINOIS 60603 312-495-7900 DELAWARE None None Limited Liability Company true Timothy Barry 125 S. CLARK STREET SUITE 900 CHICAGO IL ILLINOIS 60603 Executive Officer Director Clive Fields 125 S. CLARK STREET SUITE 900 CHICAGO IL ILLINOIS 60603 Executive Officer Director Paul Martino 125 S. CLARK STREET SUITE 900 CHICAGO IL ILLINOIS 60603 Executive Officer Director Ann Lamont 125 S. CLARK STREET SUITE 900 CHICAGO IL ILLINOIS 60603 Director Ezekiel Emmanuel 125 S. CLARK STREET SUITE 900 CHICAGO IL ILLINOIS 60603 Director Mark Eustis 125 S. CLARK STREET SUITE 900 CHICAGO IL ILLINOIS 60603 Director Steve Shulman 125 S. CLARK STREET SUITE 900 CHICAGO IL ILLINOIS 60603 Director Christopher Bischoff 125 S. CLARK STREET SUITE 900 CHICAGO IL ILLINOIS 60603 Director Mark Vaninisi 125 S. CLARK STREET SUITE 900 CHICAGO IL ILLINOIS 60603 Director Chris Ricuarte 125 S. CLARK STREET SUITE 900 CHICAGO IL ILLINOIS 60603 Executive Officer Mike Roberts 125 S. CLARK STREET SUITE 900 CHICAGO IL ILLINOIS 60603 Executive Officer Wendy Rubas 125 S. CLARK STREET SUITE 900 CHICAGO IL ILLINOIS 60603 Executive Officer Hospitals and Physicians Over $100,000,000 06b false 2021-11-01 false true true Rollover equity issued in connection with an asset sale. 100000 1500000 500000 1000000 false 1 0 0 0 false Village Practice Management Company, LLC Wendy Rubas Wendy Rubas General Counsel 2021-11-23