0001476168-16-000002.txt : 20160810 0001476168-16-000002.hdr.sgml : 20160810 20160810155744 ACCESSION NUMBER: 0001476168-16-000002 CONFORMED SUBMISSION TYPE: D/A PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20160810 DATE AS OF CHANGE: 20160810 EFFECTIVENESS DATE: 20160810 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/A SEC ACT: 1933 Act SEC FILE NUMBER: 021-243823 FILM NUMBER: 161821511 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/A 1 primary_doc.xml X0707 D/A LIVE 0001476168 IngagePatient, Inc. 510 Glenwood Avenue Raleigh NC NORTH CAROLINA 27603 919-345-0915 DELAWARE RegisterPatient.com, Inc. Corporation true Robert Crutchfield 1210 East Cary Street Suite 400 Richmond VA VIRGINIA 23219 Director David Williams 4108 SW 19th Terrace Gainesville FL FLORIDA 32608 Director Promoter Richard Allen 1110 NE 3rd Street Gainesville FL FLORIDA 32601 Director Promoter Joanne Rohde 510 Glenwood Avenue Suite 215 Raleigh NC NORTH CAROLINA 27603 Executive Officer 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 true 0001476168-15-000001 2015-07-01 true true true true false 0 4875876 3666876 1209000 false 16 0 0 571000 Proceeds will be used for working capital, which will include normal compensation to executive officers. false IngagePatient, Inc. Johanne Rohde Joanne Rohde Chief Executive Officer 2016-08-10