0001905994-22-000001.txt : 20220121 0001905994-22-000001.hdr.sgml : 20220121 20220121144621 ACCESSION NUMBER: 0001905994-22-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20220121 DATE AS OF CHANGE: 20220121 EFFECTIVENESS DATE: 20220121 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Medically Home Group Acquisition LLC CENTRAL INDEX KEY: 0001905994 IRS NUMBER: 863898278 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-430389 FILM NUMBER: 22545639 BUSINESS ADDRESS: STREET 1: 133 BROOKLINE AVE CITY: BOSTON STATE: MA ZIP: 02215 BUSINESS PHONE: 617-585-9600 MAIL ADDRESS: STREET 1: 133 BROOKLINE AVE CITY: BOSTON STATE: MA ZIP: 02215 D 1 primary_doc.xml X0708 D LIVE 0001905994 Medically Home Group Acquisition LLC 133 BROOKLINE AVE BOSTON MA MASSACHUSETTS 02215 617-585-9600 DELAWARE None None Limited Liability Company true 2021 Rami Karjian c/o Medically Home Group 133 Brookline Ave Boston MA MASSACHUSETTS 02215 Executive Officer Director Maneesh Goyal c/o Medically Home Group 133 Brookline Ave Boston MA MASSACHUSETTS 02215 Executive Officer Director David Henderson c/o Medically Home Group 133 Brookline Ave Boston MA MASSACHUSETTS 02215 Executive Officer James Rogers, III c/o Medically Home Group 133 Brookline Ave Boston MA MASSACHUSETTS 02215 Executive Officer Michael Rowe c/o Medically Home Group 133 Brookline Ave Boston MA MASSACHUSETTS 02215 Executive Officer Michael Maniaci c/o Medically Home Group 133 Brookline Ave Boston MA MASSACHUSETTS 02215 Director Janet A. Liang c/o Medically Home Group 133 Brookline Ave Boston MA MASSACHUSETTS 02215 Director Heather Knight c/o Medically Home Group 133 Brookline Ave Boston MA MASSACHUSETTS 02215 Director Stephen Parodi c/o Medically Home Group 133 Brookline Ave Boston MA MASSACHUSETTS 02215 Director Raphael Rakowski c/o Medically Home Group 133 Brookline Ave Boston MA MASSACHUSETTS 02215 Director Other Health Care Decline to Disclose 06b false 2022-01-07 false true false 0 109999994 109999994 0 false 5 0 0 0 false Medically Home Group Acquisition LLC /s/ Rami Karjian Rami Karjian Chief Executive Officer 2022-01-21