0001386760-13-000002.txt : 20131029 0001386760-13-000002.hdr.sgml : 20131029 20131029130153 ACCESSION NUMBER: 0001386760-13-000002 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20131029 DATE AS OF CHANGE: 20131029 EFFECTIVENESS DATE: 20131029 FILER: COMPANY DATA: COMPANY CONFORMED NAME: QLIANCE MEDICAL MANAGEMENT INC. CENTRAL INDEX KEY: 0001386760 IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-205411 FILM NUMBER: 131175553 BUSINESS ADDRESS: STREET 1: 2101 FOURTH AVENUE, SUITE 600 CITY: SEATTLE STATE: WA ZIP: 98121 BUSINESS PHONE: 206-913-4700 MAIL ADDRESS: STREET 1: 2101 FOURTH AVENUE, SUITE 600 CITY: SEATTLE STATE: WA ZIP: 98121 FORMER COMPANY: FORMER CONFORMED NAME: BlissMD Inc DATE OF NAME CHANGE: 20070117 D 1 primary_doc.xml X0707 D LIVE 0001386760 QLIANCE MEDICAL MANAGEMENT INC. 2101 FOURTH AVENUE, SUITE 600 SEATTLE WA WASHINGTON 98121 206-913-4700 DELAWARE BlissMD Inc Corporation true ERIKA BLISS C/O QLIANCE MEDICAL MANAGEMENT INC. 2101 FOURTH AVENUE, SUITE 600 SEATTLE WA WASHINGTON 98121 Executive Officer Director GARRISON BLISS C/O QLIANCE MEDICAL MANAGEMENT INC. 2101 FOURTH AVENUE, SUITE 600 SEATTLE WA WASHINGTON 98121 Director JOHN GEBHART C/O QLIANCE MEDICAL MANAGEMENT INC. 2101 FOURTH AVENUE, SUITE 600 SEATTLE WA WASHINGTON 98121 Executive Officer JOHN CUNNINGHAM C/O QLIANCE MEDICAL MANAGEMENT INC. 2101 FOURTH AVENUE, SUITE 600 SEATTLE WA WASHINGTON 98121 Director NICOLAS HANAUER C/O QLIANCE MEDICAL MANAGEMENT INC. 2101 FOURTH AVENUE, SUITE 600 SEATTLE WA WASHINGTON 98121 Director TODD HIXON C/O QLIANCE MEDICAL MANAGEMENT INC. 2101 FOURTH AVENUE, SUITE 600 SEATTLE WA WASHINGTON 98121 Director TOM RODGERS C/O QLIANCE MEDICAL MANAGEMENT INC. 2101 FOURTH AVENUE, SUITE 600 SEATTLE WA WASHINGTON 98121 Director Other Health Care Decline to Disclose 06b false 2013-10-15 false true false 0 6000000 5500002 499998 false 7 0 0 0 false QLIANCE MEDICAL MANAGEMENT INC. JOHN GEBHART JOHN GEBHART CHIEF OPERATING OFFICER 2013-10-29