0001903586-22-000001.txt : 20220110 0001903586-22-000001.hdr.sgml : 20220110 20220110103658 ACCESSION NUMBER: 0001903586-22-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20220110 DATE AS OF CHANGE: 20220110 EFFECTIVENESS DATE: 20220110 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Drs. Farrell, Farrell, Nale, Cook, Kapitan, Mohamed, Franco, Wessel, Howell & Kain Associates, PC CENTRAL INDEX KEY: 0001903586 IRS NUMBER: 000000000 STATE OF INCORPORATION: NC FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-428544 FILM NUMBER: 22520191 BUSINESS ADDRESS: STREET 1: 8840 BLAKENEY PROFESSIONAL DRIVE STREET 2: SUITE 300 CITY: CHARLOTTE STATE: NC ZIP: 28277 BUSINESS PHONE: 704-716-9840 MAIL ADDRESS: STREET 1: 8840 BLAKENEY PROFESSIONAL DRIVE STREET 2: SUITE 300 CITY: CHARLOTTE STATE: NC ZIP: 28277 D 1 primary_doc.xml X0708 D LIVE 0001903586 Drs. Farrell, Farrell, Nale, Cook, Kapitan, Mohamed, Franco, Wessel, Howell & Kain Associates, PC 8840 BLAKENEY PROFESSIONAL DRIVE SUITE 300 CHARLOTTE NC NORTH CAROLINA 28277 704-716-9840 NORTH CAROLINA None None Corporation true 2021 Brian Farrell 2510 Sedley Road Charlotte NC NORTH CAROLINA 28211 Executive Officer Bartholomew C Farrell 2101 Sunderland Place Charlotte NC NORTH CAROLINA 28211 Director John C Nale 5400 Carmel Park Drive Charlotte NC NORTH CAROLINA 28226 Director Daniel R Cook 1836 Maryland Avenue Charlotte NC NORTH CAROLINA 28209 Director Richard A Kapitan 708 Chambwood Road Wesley Chapel NC NORTH CAROLINA 28110 Director Waheed V Mohamed 125 W. Tremont Avenue #902 Charlotte NC NORTH CAROLINA 28203 Director Peter B Franco 207 Dellwood Avenue Charlotte NC NORTH CAROLINA 28209 Director John H Wessel 1056 Emory Lane Fort Mill SC SOUTH CAROLINA 29708 Director James W Howell 18 Round Pond Road Greenville SC SOUTH CAROLINA 29607 Director Nicholas J Kain 16509 Barcica Lane Cornelius NC NORTH CAROLINA 29031 Director Hospitals and Physicians Decline to Disclose 06b false 2021-12-20 false true true 0 Indefinite 0 Indefinite Equity issued to physician group as part of reorganization. false 10 0 0 0 false Drs. Farrell, Farrell, Nale, Cook, Kapitan, Mohamed, Franco, Wessel, Howell & Kain Associates, PC Brian Farrell Brian Farrell President 2022-01-10