0001967276-23-000001.txt : 20230228 0001967276-23-000001.hdr.sgml : 20230228 20230228105531 ACCESSION NUMBER: 0001967276-23-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20230228 DATE AS OF CHANGE: 20230228 EFFECTIVENESS DATE: 20230228 FILER: COMPANY DATA: COMPANY CONFORMED NAME: PROVIDER CAPITAL FUND, LLC CENTRAL INDEX KEY: 0001967276 IRS NUMBER: 922489225 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-474425 FILM NUMBER: 23680258 BUSINESS ADDRESS: STREET 1: 1000 CORPORATE CENTRE DRIVE STREET 2: SUITE 100 CITY: FRANKLIN STATE: TN ZIP: 37067 BUSINESS PHONE: 888-889-7033 MAIL ADDRESS: STREET 1: 1000 CORPORATE CENTRE DRIVE STREET 2: SUITE 100 CITY: FRANKLIN STATE: TN ZIP: 37067 D 1 primary_doc.xml X0708 D LIVE 0001967276 PROVIDER CAPITAL FUND, LLC 1000 CORPORATE CENTRE DRIVE SUITE 100 FRANKLIN TN TENNESSEE 37067 888-889-7033 DELAWARE None None Limited Liability Company true 2023 BRANDON RIFE 1000 CORPORATE CENTRE DRIVE SUITE 100 FRANKLIN TN TENNESSEE 37067 Executive Officer Director JAKE EATON 1000 CORPORATE CENTRE DRIVE SUITE 100 FRANKLIN TN TENNESSEE 37067 Executive Officer Director STEPHEN RZASNICKI 1000 CORPORATE CENTRE DRIVE SUITE 100 FRANKLIN TN TENNESSEE 37067 Director Investing Decline to Disclose 06b false true true true false 1000 Indefinite 0 Indefinite false 0 0 0 0 false PROVIDER CAPITAL FUND, LLC /s/ Brandon Rife Brandon Rife President and Managing Member 2023-02-28