0001557336-13-000001.txt : 20130910 0001557336-13-000001.hdr.sgml : 20130910 20130905170013 ACCESSION NUMBER: 0001557336-13-000001 CONFORMED SUBMISSION TYPE: D/A PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: Rule 506 FILED AS OF DATE: 20130905 DATE AS OF CHANGE: 20130905 EFFECTIVENESS DATE: 20130905 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Lagniappe Health, Inc. CENTRAL INDEX KEY: 0001557336 IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FILING VALUES: FORM TYPE: D/A SEC ACT: 1933 Act SEC FILE NUMBER: 021-183753 FILM NUMBER: 131080936 BUSINESS ADDRESS: STREET 1: 2601 SCOTT AVENUE STREET 2: SUITE 600 CITY: FORT WORTH STATE: TX ZIP: 76103 BUSINESS PHONE: (443) 573-3717 MAIL ADDRESS: STREET 1: 2601 SCOTT AVENUE STREET 2: SUITE 600 CITY: FORT WORTH STATE: TX ZIP: 76103 D/A 1 primary_doc.xml X0706 D/A LIVE 0001557336 Lagniappe Health, Inc. 2601 SCOTT AVENUE SUITE 600 FORT WORTH TX TEXAS 76103 443-573-3719 DELAWARE None None Corporation true 2011 Josh Hall c/o Calvert Street Capital Partners 111 South Calvert Street, Suite 1800 Baltimore MD MARYLAND 21202 Director Josh Hall is a Director of the Issuer. Jacob Canova 2601 SCOTT AVENUE SUITE 600 FORT WORTH TX TEXAS 76103 Executive Officer Director Jacob Canova is the CEO and Director of the Issuer. Peter Fianu 2601 SCOTT AVENUE SUITE 600 FORT WORTH TX TEXAS 76103 Executive Officer Director Peter Fianu is the CIO and Executive Vice-President and Director of the Issuer. John Wissel c/o Calvert Street Capital Partners 111 South Calvert Street, Suite 1800 Baltimore MD MARYLAND 21202 Executive Officer John Wissel is the Secretary of the Issuer. Michael Booth c/o Calvert Street Capital Partners 111 South Calvert Street, Suite 1800 Baltimore MD MARYLAND 21202 Executive Officer Director Michael Booth is the Chairman, President and Treasurer. Brian Mahoney c/o Calvert Street Capital Partners 111 South Calvert Street, Suite 1800 Baltimore MD MARYLAND 21202 Director Brian Mahoney is a Director of the Issuer. Harlan Seymour 2601 SCOTT AVENUE SUITE 600 FORT WORTH TX TEXAS 76103 Director Harlan Seymour is a Director of the Issuer. Richard Bukovinsky 2601 SCOTT AVENUE SUITE 600 FORT WORTH TX TEXAS 76103 Executive Officer Director Richard Bukovinsky is an Executive Vice-President and Director of the Issuer. Other Health Care Decline to Disclose 06 true 0001557336-12-000001 2012-08-27 true true true 0 Indefinite 7865646 Indefinite false 5 0 0 0 false Lagniappe Health, Inc. John Wissel John Wissel Secretary of the Issuer 2013-09-05