# PROVIDENCE ANCHORAGE ANESTHESIA MEDICAL GROUP, P.C. — Form D

PROVIDENCE ANCHORAGE ANESTHESIA MEDICAL GROUP, P.C. of ANCHORAGE, AK, a company, filed a Form D exempt-offering notice with the SEC on 2019-06-14. The offering totals $10K. Industry: Hospitals and Physicians.

## Offering

- Filed: 2019-06-14
- Form: D
- Accession: 0001779461-19-000001
- Industry: Hospitals and Physicians
- Exemptions: 06b
- Total offering: $10K
- Remaining: $10K
- Minimum investment: $5K
- Security types: equity
- Revenue range: Decline to Disclose
- SEC file number: 021-341980

## Issuer

- Name: PROVIDENCE ANCHORAGE ANESTHESIA MEDICAL GROUP, P.C.
- CIK: 0001779461
- Entity type: Corporation
- Jurisdiction: ALASKA
- Address: 3300 PROVIDENCE DRIVE, SUITE 207, ANCHORAGE, AK, 99508
- Phone: (907) 561-0027

## Officers, directors & promoters (21)

| Name | Role | Location |
| --- | --- | --- |
| LINDSAY COBB | Director | ANCHORAGE, AK |
| KIRSTEN RANDALL | Director | ANCHORAGE, AK |
| JAMES H BROOKS | Executive Officer | ANCHORAGE, AK |
| LINDSAY COBB | Executive Officer | ANCHORAGE, AK |
| KIRSTEN RANDALL | Executive Officer | ANCHORAGE, AK |
| Nathaniel Smith | Director | Memphis, TN |
| Nathaniel Smith | Executive Officer | Memphis, TN |
| DALE GROSS | Director | ANCHORAGE, AK |
| DALE GROSS | Executive Officer | ANCHORAGE, AK |
| JILL KLEIN | Director | ANCHORAGE, AK |
| JILL KLEIN | Executive Officer | ANCHORAGE, AK |
| PETER LUNOE | Director | ANCHORAGE, AK |
| PETER LUNOE | Executive Officer | ANCHORAGE, AK |
| STEVEN ROSENFIELD | Director | ANCHORAGE, AK |
| STEVEN ROSENFIELD | Executive Officer | ANCHORAGE, AK |
| STEVEN SIVILS | Director | ANCHORAGE, AK |
| STEVEN SIVILS | Executive Officer | ANCHORAGE, AK |
| LEIF LUNOE | Director | ANCHORAGE, AK |
| LEIF LUNOE | Executive Officer | ANCHORAGE, AK |
| TRAVIS BOND | Director | ANCHORAGE, AK |
| TRAVIS BOND | Executive Officer | ANCHORAGE, AK |

## Other filings by this issuer (2)

| Filed | Form | Offering | Sold |
| --- | --- | --- | --- |
| [2021-03-15](https://search.stillhousedata.com/formd/0001779461-21-000001) | D/A | $25K | $15K |
| [2020-09-30](https://search.stillhousedata.com/formd/0001779461-20-000001) | D/A | $15K | $10K |

## More

- [CIK 1779461 on SEC EDGAR (source of record)](https://www.sec.gov/cgi-bin/browse-edgar?action=getcompany&CIK=1779461&type=&dateb=&owner=include&count=40)
- [This page as markdown (for LLM agents)](https://search.stillhousedata.com/formd/0001779461-19-000001.md)
- [Search all SEC filings, advisers and people on Adviser Search](https://search.stillhousedata.com/)

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