0002154848-26-000001.txt : 20260911 0002154848-26-000001.hdr.sgml : 20260911 20260911135348 ACCESSION NUMBER: 0002154848-26-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: Rule 506(b) provides a "safer harbor" for a private offering FILED AS OF DATE: 20260911 DATE AS OF CHANGE: 20260911 EFFECTIVENESS DATE: 20260911 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Provident Health 01-05 LLC CENTRAL INDEX KEY: 0002154848 ORGANIZATION NAME: EIN: 424735003 STATE OF INCORPORATION: NV FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-597228 FILM NUMBER: 261373745 BUSINESS ADDRESS: STREET 1: 2221 JUSTIN RD STREET 2: STE 119-455 CITY: FLOWER MOUND STATE: TX ZIP: 75028 BUSINESS PHONE: 855-888-3920 MAIL ADDRESS: STREET 1: 2221 JUSTIN RD STREET 2: STE 119-455 CITY: FLOWER MOUND STATE: TX ZIP: 75028 D 1 primary_doc.xml X0708 D LIVE 0002154848 Provident Health 01-05 LLC 2221 JUSTIN RD STE 119-455 FLOWER MOUND TX TEXAS 75028 855-888-3920 NEVADA None None Limited Liability Company true 2026 Zach Elmer 2221 Justin Rd Ste 119-455 Flower Mound TX TEXAS 75028 Executive Officer Other Technology Decline to Disclose 06b false true false true Membership Units in a limited liability company false 50000 Emerson Equity 130032 None None 155 Bovet Rd Suite 725 San Mateo CA CALIFORNIA 94402 All States false 75000000 0 75000000 false 0 9375000 true 0 Selling commissions of $5,250,000 + Dealer management fee of $1,500,000 + Marketing fee of $375,000 + Wholesaling fee of $1,500,000 + Due diligence allowance of $750,000 3000000 true The manager receives $3,000,000 for management fees false Provident Health 01-05 LLC Zach Elmer Zach Elmer Manager 2026-09-11