0001461373-22-000007.txt : 20220216 0001461373-22-000007.hdr.sgml : 20220216 20220216170443 ACCESSION NUMBER: 0001461373-22-000007 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20220216 DATE AS OF CHANGE: 20220216 EFFECTIVENESS DATE: 20220216 FILER: COMPANY DATA: COMPANY CONFORMED NAME: FMS Jackson Home, LLC CENTRAL INDEX KEY: 0001911519 IRS NUMBER: 853778391 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-433917 FILM NUMBER: 22644525 BUSINESS ADDRESS: STREET 1: ROBINSON, BRADSHAW & HINSON, P.A. STREET 2: 920 WINTER STREET CITY: WALTHAM STATE: MA ZIP: 02451 BUSINESS PHONE: 781-699-9250 MAIL ADDRESS: STREET 1: ROBINSON, BRADSHAW & HINSON, P.A. STREET 2: 920 WINTER STREET CITY: WALTHAM STATE: MA ZIP: 02451 D 1 primary_doc.xml X0708 D LIVE 0001911519 FMS Jackson Home, LLC c/o Fresenius Medical Care North America 920 WINTER STREET WALTHAM MA MASSACHUSETTS 02451 781-699-9250 DELAWARE None None Limited Liability Company true 2020 Ryan M Valle 920 Winter Street Waltham MA MASSACHUSETTS 02451 Director Manager Katherine Sarisen 920 Winter Street Waltham MA MASSACHUSETTS 02451 Director Manager Betty Paret 920 Winter Street Waltham MA MASSACHUSETTS 02451 Director Manager Brandi Keller 920 Winter Street Waltham MA MASSACHUSETTS 02451 Director Manager Kavita Luthra, M.D. 900 E. Michigan Avenue Jackson MI MICHIGAN 49201 Director Manager Tarvinder Matharu, M.D. 900 E. Michigan Avenue Jackson MI MICHIGAN 49201 Director Manager Other Health Care Decline to Disclose 06b false 2022-01-31 false true false 536030 1786767 1786767 0 false 2 0 0 0 false FMS Jackson Home, LLC /s/ Ryan M. Valle Ryan M. Valle Manager 2022-01-31