0001897260-22-000002.txt : 20220215 0001897260-22-000002.hdr.sgml : 20220215 20220215153037 ACCESSION NUMBER: 0001897260-22-000002 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20220215 DATE AS OF CHANGE: 20220215 EFFECTIVENESS DATE: 20220215 FILER: COMPANY DATA: COMPANY CONFORMED NAME: OBGYN Physician Alliance, LLC CENTRAL INDEX KEY: 0001897260 IRS NUMBER: 873444543 STATE OF INCORPORATION: CO FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-433693 FILM NUMBER: 22638881 BUSINESS ADDRESS: STREET 1: C/O OMG OWNERSHIP, LLC STREET 2: 1805 SHEA CENTER DRIVE, SUITE 301 CITY: HIGHLANDS RANCH STATE: CO ZIP: 80129 BUSINESS PHONE: 303-738-1100 MAIL ADDRESS: STREET 1: C/O OMG OWNERSHIP, LLC STREET 2: 1805 SHEA CENTER DRIVE, SUITE 301 CITY: HIGHLANDS RANCH STATE: CO ZIP: 80129 D 1 primary_doc.xml X0708 D LIVE 0001897260 OBGYN Physician Alliance, LLC c/o OMG Ownership, LLC 1805 Shea Center Drive, Suite 301 Highlands Ranch CO COLORADO 80129 303-738-1100 COLORADO None None Limited Liability Company true 2021 Kelly M. Lennon, MD 7048 Chestnut Hill Street Highlands Ranch CO COLORADO 80130 Executive Officer Managing Member of the Issuer Scot C. Graham, MD 5055 Lakeshore Drive Bow Mar CO COLORADO 80123 Executive Officer Managing Member of the Issuer Kimberly van Scriver, MD 18020 E. Easter Avenue Foxfield CO COLORADO 80016 Executive Officer Managing Member of the Issuer Other Health Care Decline to Disclose 06b false 2022-01-31 false true false 49000 245000 245000 0 false 3 0 0 0 false OBGYN Physician Alliance, LLC /s/ Kelly M. Lennon, MD Kelly M. Lennon, MD Managing Member 2022-02-11