0001429664-14-000001.txt : 20140627 0001429664-14-000001.hdr.sgml : 20140627 20140627155622 ACCESSION NUMBER: 0001429664-14-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20140627 DATE AS OF CHANGE: 20140627 EFFECTIVENESS DATE: 20140627 FILER: COMPANY DATA: COMPANY CONFORMED NAME: WHITEGLOVE HEALTH INC CENTRAL INDEX KEY: 0001429664 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-HEALTH SERVICES [8000] IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-220002 FILM NUMBER: 14945966 BUSINESS ADDRESS: STREET 1: 5300 BEE CAVE ROAD STREET 2: BUILDING 1, SUITE 100 CITY: AUSTIN STATE: TX ZIP: 78746 BUSINESS PHONE: 512-329-8081 MAIL ADDRESS: STREET 1: 5300 BEE CAVE ROAD STREET 2: BUILDING 1, SUITE 100 CITY: AUSTIN STATE: TX ZIP: 78746 FORMER COMPANY: FORMER CONFORMED NAME: WHITEGLOVE HOUSE CALL HEALTH INC DATE OF NAME CHANGE: 20080313 D 1 primary_doc.xml X0707 D LIVE 0001429664 WHITEGLOVE HEALTH INC 1601 S. Mopac Expressway Suite 450 Austin TX TEXAS 78746 512-329-9223 DELAWARE WHITEGLOVE HOUSE CALL HEALTH INC Corporation true Nicholas A. Balog 1601 S. Mopac Expressway Suite 450 Austin TX TEXAS 78746 Executive Officer Malcolm T. Kostuchenko 1601 S. Mopac Expressway Suite 450 Austin TX TEXAS 78746 Director Mark Wagar 1601 S. Mopac Expressway Suite 450 Austin TX TEXAS 78746 Director David Wetherell 1601 S. Mopac Expressway Suite 450 Austin TX TEXAS 78746 Director Anthony Wright 1601 S. Mopac Expressway Suite 450 Austin TX TEXAS 78746 Director Frazer Buntin 1601 S. Mopac Expressway Suite 450 Austin TX TEXAS 78746 Director Hospitals and Physicians Decline to Disclose 06b false 2014-06-06 false true false 0 1750000 1750000 0 false 9 0 0 0 false WHITEGLOVE HEALTH INC /s/ Nicholas A. Balog Nicholas A. Balog Chief Executive Officer 2014-06-27