| Name: | Commonwealth Primary Care ACO, LLC |
| Jurisdiction: | Kentucky |
| Profit or Non-Profit: | Profit |
| Legal type: | Kentucky Limited Liability Company |
| Status: | Inactive |
| Standing: | Good |
| File Date: | 17 Feb 2012 (13 years ago) |
| Organization Date: | 17 Feb 2012 (13 years ago) |
| Organization Number: | 0822018 |
| Place of Formation: | KENTUCKY |
| Last Annual Report: | 30 Jun 2022 (2 years ago) |
| Managed By: | Managers |
| Principal Office: | 4742 N 24TH ST, SUITE 300 , PHOENIX, AZ 85016 |
| Unique Entity ID | Expiration Date | Physical Address | Mailing Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| C49WVJMJBK46 | 2023-03-03 | 5005 S ASH AVE STE A-1, TEMPE, AZ, 85282, 6837, USA | 5005 S ASH AVE STE A-1, TEMPE, AZ, 85282, 6837, USA | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Doing Business As | GPIPA ACO |
| URL | www.commonwealthaco.com |
| Congressional District | 09 |
| State/Country of Incorporation | KY, USA |
| Activation Date | 2022-02-03 |
| Initial Registration Date | 2013-10-02 |
| Entity Start Date | 2012-04-15 |
| Fiscal Year End Close Date | Dec 31 |
Service Classifications
| NAICS Codes | 621111 |
Points of Contacts
| Electronic Business | |
|---|---|
| Title | PRIMARY POC |
| Name | LANCE DONKERBROOK |
| Role | CEO |
| Address | 5005 S ASH AVE, A1, TEMPE, AZ, 85282, USA |
| Government Business | |
|---|---|
| Title | PRIMARY POC |
| Name | LANCE DONKERBROOK |
| Address | 5005 S ASH AVE, A1, TEMPE, AZ, 85282, USA |
| Title | ALTERNATE POC |
| Name | LANCE DONKERBROOK |
| Address | 5030 S MILL AVE, SUITE D8, TEMPE, AZ, 85282, USA |
| Past Performance | |
|---|---|
| Title | PRIMARY POC |
| Name | DAVID WEIDEMAN |
| Role | BUSINESS MANAGER |
| Address | 5005 S ASH AVE, A-1, TEMPE, AZ, 85253, USA |
| Name | Role |
|---|---|
| Gary Dean Thompson | Organizer |
| Name | Role |
|---|---|
| CT CORPORATION SYSTEM | Registered Agent |
| Name | Role |
|---|---|
| Curtis Page | Member |
| Robert Bloomberg | Member |
| Petar Novakovic | Member |
| Rajiv Parikh | Member |
| James Nichols | Member |
| Shilpa Bhatnagar | Member |
| Robert Page | Member |
| Shobha Parvathala | Member |
| Thomas Fiel | Member |
| Lance Donkerbrook | Member |
| Name | File Date |
|---|---|
| Dissolution | 2023-05-17 |
| Principal Office Address Change | 2022-06-30 |
| Annual Report | 2022-06-30 |
| Annual Report | 2021-07-01 |
| Annual Report | 2020-08-25 |
| Annual Report | 2019-04-10 |
| Annual Report | 2018-07-05 |
| Annual Report Amendment | 2018-07-05 |
| Principal Office Address Change | 2017-07-17 |
| Annual Report | 2017-07-17 |
Date of last update: 14 Nov 2024
Sources: Kentucky Secretary of State
