0001996374-23-000001.txt : 20231012 0001996374-23-000001.hdr.sgml : 20231012 20231012124956 ACCESSION NUMBER: 0001996374-23-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20231012 DATE AS OF CHANGE: 20231012 EFFECTIVENESS DATE: 20231012 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Concierge Pediatrics Holdings, LLC CENTRAL INDEX KEY: 0001996374 IRS NUMBER: 882851426 STATE OF INCORPORATION: NY FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-494558 FILM NUMBER: 231322276 BUSINESS ADDRESS: STREET 1: 50 CHRISTOPHER COURT CITY: WOODBURY STATE: NY ZIP: 11797 BUSINESS PHONE: 646-652-9467 MAIL ADDRESS: STREET 1: 50 CHRISTOPHER COURT CITY: WOODBURY STATE: NY ZIP: 11797 D 1 primary_doc.xml X0708 D LIVE 0001996374 Concierge Pediatrics Holdings, LLC 50 CHRISTOPHER COURT WOODBURY NY NEW YORK 11797 646-652-9467 NEW YORK None None Limited Liability Company true 2022 Bryan Calka 50 Christopher Court Woodbury NY NEW YORK 11797 Director Manager Brian Levy 55 Belvedere Drive Syosset NY NEW YORK 11791 Director Manager Ross Mallor 7 Twilight Court Melville NY NEW YORK 11747 Director Manager Jonathan Jassey 2 Harvest Court Dix Hills NY NEW YORK 11746 Director Manager Marc Honigfeld 3170 Wynsum Avenue Merrick NY NEW YORK 11566 Director Manager Matthew Cooper 13300 Keystone Terrace North Miami FL FLORIDA 33181 Director Manager Other Health Care Decline to Disclose 06b false 2023-10-06 false true false 50000 Indefinite 900000 Indefinite false 10 0 0 0 false Concierge Pediatrics Holdings, LLC Bryan Calka Bryan Calka Manager 2023-10-12