0001901880-22-000001.txt : 20220107 0001901880-22-000001.hdr.sgml : 20220107 20220107134142 ACCESSION NUMBER: 0001901880-22-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20220107 DATE AS OF CHANGE: 20220107 EFFECTIVENESS DATE: 20220107 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Gold Kidney Health Plan Inc. CENTRAL INDEX KEY: 0001901880 IRS NUMBER: 873365192 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-428387 FILM NUMBER: 22517581 BUSINESS ADDRESS: STREET 1: 10006 E. KAREN DRIVE CITY: SCOTTSDALE STATE: AZ ZIP: 85260 BUSINESS PHONE: 602-677-7095 MAIL ADDRESS: STREET 1: 10006 E. KAREN DRIVE CITY: SCOTTSDALE STATE: AZ ZIP: 85260 D 1 primary_doc.xml X0708 D LIVE 0001901880 Gold Kidney Health Plan Inc. 9903 E. Bell Road Suite 120 SCOTTSDALE AZ ARIZONA 85260 917-545-5439 DELAWARE None None Corporation true 2021 Dave Firdaus 9903 E. Bell Road Suite 120 Scottsdale AZ ARIZONA 85260 Executive Officer Director Mandeep Sahani 9903 E. Bell Road Suite 120 Scottsdale AZ ARIZONA 85260 Executive Officer Director Other Health Care Decline to Disclose 06b false 2021-12-17 false true false 25000 5000000 4625000 375000 false 22 0 0 0 true false Gold Kidney Health Plan Inc. Dave Firdaus Dave Firdaus President 2022-01-06