0001988683-23-000001.txt : 20230817 0001988683-23-000001.hdr.sgml : 20230817 20230817130912 ACCESSION NUMBER: 0001988683-23-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20230817 DATE AS OF CHANGE: 20230817 EFFECTIVENESS DATE: 20230817 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Pine Street Healthcare Holdings, LLC CENTRAL INDEX KEY: 0001988683 IRS NUMBER: 832469881 STATE OF INCORPORATION: DE FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-490010 FILM NUMBER: 231180980 BUSINESS ADDRESS: STREET 1: 4200 SEPULVEDA BLVD. STREET 2: SUITE 101 CITY: CULVER CITY STATE: CA ZIP: 90230 BUSINESS PHONE: (310) 266-4367 MAIL ADDRESS: STREET 1: 4200 SEPULVEDA BLVD. STREET 2: SUITE 101 CITY: CULVER CITY STATE: CA ZIP: 90230 D 1 primary_doc.xml X0708 D LIVE 0001988683 Pine Street Healthcare Holdings, LLC 4200 SEPULVEDA BLVD. SUITE 101 CULVER CITY CA CALIFORNIA 90230 (310) 266-4367 DELAWARE None None Limited Liability Company true 2018 Jonathan Sassover 4200 SEPULVEDA BLVD. SUITE 101 Culver City CA CALIFORNIA 90230 Executive Officer Director Promoter Sacco Ryan 4200 SEPULVEDA BLVD. SUITE 101 Culver City CA CALIFORNIA 90230 Promoter Michael Davidov 4200 SEPULVEDA BLVD. SUITE 101 Culver City CA CALIFORNIA 90230 Executive Officer Director Promoter Griffin Rotman 4200 SEPULVEDA BLVD. SUITE 101 Culver City CA CALIFORNIA 90230 Director Paul Finnegan 4200 SEPULVEDA BLVD. SUITE 101 Culver City CA CALIFORNIA 90230 Director Other Health Care Decline to Disclose 06b false 2023-06-21 false true true This offering is being made in connection with the membership interest purchase by a subsidiary of the issuer of another healthcare business. 35000 11500000 11500000 0 false 9 0 0 0 false Pine Street Healthcare Holdings, LLC Jonathan Sassover Jonathan Sassover CEO 2023-08-17