0001959544-22-000001.txt : 20221229 0001959544-22-000001.hdr.sgml : 20221229 20221229135206 ACCESSION NUMBER: 0001959544-22-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20221229 DATE AS OF CHANGE: 20221229 EFFECTIVENESS DATE: 20221229 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Premier Breast Health Institute of Oklahoma LLC CENTRAL INDEX KEY: 0001959544 IRS NUMBER: 862190998 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-469111 FILM NUMBER: 221498176 BUSINESS ADDRESS: STREET 1: 5901 W. MEMORIAL ROAD CITY: OKLAHOMA CITY STATE: OK ZIP: 73142 BUSINESS PHONE: 865-456-1117 MAIL ADDRESS: STREET 1: 5901 W. MEMORIAL ROAD CITY: OKLAHOMA CITY STATE: OK ZIP: 73142 D 1 primary_doc.xml X0708 D LIVE 0001959544 Premier Breast Health Institute of Oklahoma LLC 5901 W. MEMORIAL ROAD OKLAHOMA CITY OK OKLAHOMA 73142 865-456-1117 DELAWARE Oklahoma Comprehensive Breast Center LLC None Limited Liability Company true 2020 Thomas Welch 5901 W. Memorial Road Oklahoma City OK OKLAHOMA 73142 Executive Officer Promoter Christopher Brown 5901 W. Memorial Road Oklahoma City OK OKLAHOMA 73142 Executive Officer Promoter David Raubach 5901 W. Memorial Road Oklahoma City OK OKLAHOMA 73142 Executive Officer Promoter Other Health Care Decline to Disclose 06b false true false true false 50000 500000 0 500000 false 0 0 0 0 false Premier Breast Health Institute of Oklahoma LLC Elijah C. Lovingfoss Elijah C. Lovingfoss Attorney - Authorized Signatory 2022-12-29