0001476168-14-000002.txt : 20140707 0001476168-14-000002.hdr.sgml : 20140704 20140707084609 ACCESSION NUMBER: 0001476168-14-000002 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20140707 DATE AS OF CHANGE: 20140707 EFFECTIVENESS DATE: 20140707 FILER: COMPANY DATA: COMPANY CONFORMED NAME: IngagePatient, Inc. CENTRAL INDEX KEY: 0001476168 IRS NUMBER: 270383772 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-220439 FILM NUMBER: 14962125 BUSINESS ADDRESS: STREET 1: 2035 SW 75TH STREET CITY: GAINESVILLE STATE: FL ZIP: 32607 BUSINESS PHONE: 615-209-9396 MAIL ADDRESS: STREET 1: 2035 SW 75TH STREET CITY: GAINESVILLE STATE: FL ZIP: 32607 FORMER COMPANY: FORMER CONFORMED NAME: RegisterPatient.com, Inc. DATE OF NAME CHANGE: 20091104 D 1 primary_doc.xml X0707 D LIVE 0001476168 IngagePatient, Inc. 2035 SW 75TH STREET SUITE A GAINESVILLE FL FLORIDA 32607 615-209-9396 DELAWARE RegisterPatient.com, Inc. Corporation true 2009 Justin Neece 2035 SW 75th Street Suite A Gainesville FL FLORIDA 32607 Executive Officer David Williams 4108 SW 19th Terrace Gainesville FL FLORIDA 32608 Director Promoter Richard Allen 1110 NE 3rd Street Gainesville FL FLORIDA 32601 Director Promoter Robert Crutchfield 1210 East Cary Street Suite 400 Richmond VA VIRGINIA 23219 Director Gregory Bailey 7700 NW 93rd Avenue Gainesville FL FLORIDA 32653 Promoter John Trbovich c/o MILCOM Venture Partners 270 West New England Avenue Winter Park FL FLORIDA 32789 Director Other Health Care Decline to Disclose 06b false 2014-06-23 false true true true false 0 1499999 749999 750000 false 14 0 0 275000 Proceeds will be used for working capital, which will include normal compensation to executive officers/managers. false IngagePatient, Inc. Justin Neece Justin Neece President and Chief Operations Officer 2014-07-07