0001840575-21-000001.txt : 20210115 0001840575-21-000001.hdr.sgml : 20210115 20210114175219 ACCESSION NUMBER: 0001840575-21-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06c FILED AS OF DATE: 20210115 DATE AS OF CHANGE: 20210114 EFFECTIVENESS DATE: 20210115 FILER: COMPANY DATA: COMPANY CONFORMED NAME: INDEPENDENCE HOLDCO LP CENTRAL INDEX KEY: 0001840575 IRS NUMBER: 854318433 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-386424 FILM NUMBER: 21529913 BUSINESS ADDRESS: STREET 1: 539 W. COMMERCE STREET STREET 2: SUITE 5901 CITY: DALLAS STATE: TX ZIP: 75208 BUSINESS PHONE: 210-740-3952 MAIL ADDRESS: STREET 1: 539 W. COMMERCE STREET STREET 2: SUITE 5901 CITY: DALLAS STATE: TX ZIP: 75208 D 1 primary_doc.xml X0708 D LIVE 0001840575 INDEPENDENCE HOLDCO LP 539 W. COMMERCE STREET SUITE 5901 DALLAS TX TEXAS 75208 210-740-3952 DELAWARE None None Limited Partnership true 2020 Curtis Smith 539 W. Commerce Street Suite 5901 Dallas TX TEXAS 75208 Executive Officer Director Lane Theriault 539 W. Commerce Street Suite 5901 Dallas TX TEXAS 75208 Executive Officer Director John Geary 539 W. Commerce Street Suite 5901 Dallas TX TEXAS 75208 Executive Officer Director Melanie Brensinger 515 N. Flagler Drive Suite260 West Palm Beach FL FLORIDA 33401 Director Parris Boyd 1 Rockefeller Plaza Suite 1203 New York NY NEW YORK 10020 Director Other Health Care Decline to Disclose 06c false 2020-12-31 false true true This offering is being made in part to provide financing to complete a concurrent acquisition of dental practices. 25000 Independence Holdco LP None None None 539 W. Commerce Street Suite 5901 Dallas TX TEXAS 75208 AL ALABAMA FL FLORIDA NC NORTH CAROLINA TN TENNESSEE false 5908500 5358500 550000 $575,000 is deferred. false 13 0 0 0 false INDEPENDENCE HOLDCO LP Curtis Smith Curtis Smith Chief Financial Officer 2021-01-14