0001832920-21-000001.txt : 20210317 0001832920-21-000001.hdr.sgml : 20210317 20210317170648 ACCESSION NUMBER: 0001832920-21-000001 CONFORMED SUBMISSION TYPE: D/A PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20210317 DATE AS OF CHANGE: 20210317 EFFECTIVENESS DATE: 20210317 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Hybernia Medical, LLC CENTRAL INDEX KEY: 0001832920 IRS NUMBER: 204555821 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D/A SEC ACT: 1933 Act SEC FILE NUMBER: 021-381073 FILM NUMBER: 21751409 BUSINESS ADDRESS: STREET 1: 40 MEMORIAL HIGHWAY STREET 2: 26C CITY: NEW ROCHELLE STATE: NY ZIP: 10801 BUSINESS PHONE: 347-277-5171 MAIL ADDRESS: STREET 1: 40 MEMORIAL HIGHWAY STREET 2: 26C CITY: NEW ROCHELLE STATE: NY ZIP: 10801 D/A 1 primary_doc.xml X0708 D/A LIVE 0001832920 Hybernia Medical, LLC 40 MEMORIAL HIGHWAY, 26C NEW ROCHELLE NY NEW YORK 10801 347-277-5171 DELAWARE None None Limited Liability Company true 2019 Jae H. Choi 40 Memorial Highway 26C New Rochelle NY NEW YORK 10801 Executive Officer Director John Pile-Spellman 40 Memorial Highway 26C New Rochelle NY NEW YORK 10801 Director Other Health Care Decline to Disclose 06b true 0001832920-20-000001 2020-03-06 true true false 50000 3000000 2050000 950000 false 11 0 0 0 false Hybernia Medical, LLC Jae H. Choi Jae H. Choi President and Chief Executive Officer 2021-03-17