0001405086-22-000137.txt : 20220502
0001405086-22-000137.hdr.sgml : 20220502
20220502163506
ACCESSION NUMBER: 0001405086-22-000137
CONFORMED SUBMISSION TYPE: D
PUBLIC DOCUMENT COUNT: 1
ITEM INFORMATION: 06b
FILED AS OF DATE: 20220502
DATE AS OF CHANGE: 20220502
EFFECTIVENESS DATE: 20220502
FILER:
COMPANY DATA:
COMPANY CONFORMED NAME: EMPASSION HEALTH HOLDINGS, LLC
CENTRAL INDEX KEY: 0001921670
IRS NUMBER: 862473450
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: D
SEC ACT: 1933 Act
SEC FILE NUMBER: 021-444107
FILM NUMBER: 22882530
BUSINESS ADDRESS:
STREET 1: 330 HUDSON STREET
STREET 2: SUITE 300
CITY: NEW YORK
STATE: NY
ZIP: 10013
BUSINESS PHONE: 518-495-1967
MAIL ADDRESS:
STREET 1: 330 HUDSON STREET
STREET 2: SUITE 300
CITY: NEW YORK
STATE: NY
ZIP: 10013
D
1
primary_doc.xml
X0708
D
LIVE
0001921670
EMPASSION HEALTH HOLDINGS, LLC
330 HUDSON STREET
SUITE 300
NEW YORK
NY
NEW YORK
10013
646-503-2203
DELAWARE
None
None
Limited Liability Company
true
2021
SPENCER
CARRUCCIU
330 HUDSON STREET
SUITE 300
NEW YORK
NY
NEW YORK
10013
Executive Officer
Director
MANAGER, VICE PRESIDENT, TREASURER AND SECRETARY
DAVID
WHELAN
330 HUDSON STREET
SUITE 300
NEW YORK
NY
NEW YORK
10013
Director
MANAGER
DAVID
BAIADA
1 WEST MAIN STREET
MOORSETOWN
NJ
NEW JERSEY
08057
Director
MANAGER
BURKE
WISE
330 HUDSON STREET
SUITE 300
NEW YORK
NY
NEW YORK
10013
Executive Officer
PRESIDENT
TOM
KOUTSOUMPAS
3180 FAIRVIEW PARK DRIVE
SUITE 500
FALLS CHURCH
VA
VIRGINIA
22042
Director
MANAGER
Other
Decline to Disclose
- 06b
false
2022-04-15
false
true
false
0
7975000
6925000
1050000
false
13
0
0
0
false
EMPASSION HEALTH HOLDINGS, LLC
/s/Burke Wise
BURKE WISE
PRESIDENT
2022-05-02