0001541712-18-000001.txt : 20181012 0001541712-18-000001.hdr.sgml : 20181012 20181012124847 ACCESSION NUMBER: 0001541712-18-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20181012 DATE AS OF CHANGE: 20181012 EFFECTIVENESS DATE: 20181012 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Urgent Team Holdings, Inc. CENTRAL INDEX KEY: 0001541712 IRS NUMBER: 454228735 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-323416 FILM NUMBER: 181119783 BUSINESS ADDRESS: STREET 1: 30 BURTON HILLS BLVD. STREET 2: SUITE 576 CITY: NASHVILLE STATE: TN ZIP: 37215 BUSINESS PHONE: (615) 988-2000 MAIL ADDRESS: STREET 1: 30 BURTON HILLS BLVD. STREET 2: SUITE 576 CITY: NASHVILLE STATE: TN ZIP: 37215 FORMER COMPANY: FORMER CONFORMED NAME: WellNow Urgent Care Holdings, Inc. DATE OF NAME CHANGE: 20120208 D 1 primary_doc.xml X0708 D LIVE 0001541712 Urgent Team Holdings, Inc. 30 BURTON HILLS BLVD. SUITE 576 NASHVILLE TN TENNESSEE 37215 (615) 988-2000 DELAWARE WellNow Urgent Care Holdings, Inc. Corporation true Thompson Dent c/o 30 Burton Hills Blvd. Suite 175 Nashville TN TENNESSEE 37215 Executive Officer Director Mr. Thompson is the President and Chief Executive Officer of the Issuer. Rudy Blank c/o 30 Burton Hills Blvd. Suite 175 Nashville TN TENNESSEE 37215 Executive Officer Mr. Blank is the Chief Financial Officer of the Issuer. Robert Dennis c/o 30 Burton Hills Blvd. Suite 175 Nashville TN TENNESSEE 37215 Director David Fitzgerald c/o 30 Burton Hills Blvd. Suite 175 Nashville TN TENNESSEE 37215 Director Thomas Flynn c/o 30 Burton Hills Blvd. Suite 175 Nashville TN TENNESSEE 37215 Director Carter McNabb c/o 30 Burton Hills Blvd. Suite 175 Nashville TN TENNESSEE 37215 Director Chris Semple c/o 30 Burton Hills Blvd. Suite 175 Nashville TN TENNESSEE 37215 Director Other Health Care Decline to Disclose 06b false 2018-10-12 false true false 0 7380000 7380000 0 false 9 0 0 0 false Urgent Team Holdings, Inc. /s/ Rudy Blank Rudy Blank Chief Financial Officer 2018-10-12