0001567619-18-008752.txt : 20181228 0001567619-18-008752.hdr.sgml : 20181228 20181228112440 ACCESSION NUMBER: 0001567619-18-008752 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20181228 DATE AS OF CHANGE: 20181228 EFFECTIVENESS DATE: 20181228 FILER: COMPANY DATA: COMPANY CONFORMED NAME: ClaimKit, Inc. CENTRAL INDEX KEY: 0001618395 IRS NUMBER: 454037055 STATE OF INCORPORATION: DE FISCAL YEAR END: 1214 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-329105 FILM NUMBER: 181256464 BUSINESS ADDRESS: STREET 1: 6811 SHAWNEE MISSION PARKWAY SUITE 211 CITY: OVERLAND PARK STATE: KS ZIP: 66202 BUSINESS PHONE: 9132135933 MAIL ADDRESS: STREET 1: 6811 SHAWNEE MISSION PARKWAY SUITE 211 CITY: OVERLAND PARK STATE: KS ZIP: 66202 FORMER COMPANY: FORMER CONFORMED NAME: ClaimKit LLC DATE OF NAME CHANGE: 20140902 D 1 primary_doc.xml X0708 D LIVE 0001618395 ClaimKit, Inc. 6811 SHAWNEE MISSION PARKWAY SUITE 211 OVERLAND PARK KS KANSAS 66202 913-213-5933 DELAWARE None ClaimKit LLC Corporation true Christopher Cheatham 6811 Shawnee Mission Parkway Suite 211 Overland Park KS KANSAS 66202 Executive Officer Director Kevin Rauckman 12113 Haskins Street Overland Park KS KANSAS 66213 Director Keith Molzer 5700 W. 112th Street Suite 500 Overland Park KS KANSAS 66211 Executive Officer Director John Beckman Level 19, 55 Water Street New York NY NEW YORK 10041 Director Douglas Reiser 11 Wake Robin Way Asheville NC NORTH CAROLINA 28805 Director Executive Officer Other Technology Decline to Disclose 06b false 2018-12-12 false true false 27021 513797 513797 0 false 7 0 0 0 false ClaimKit, Inc. /s/ Christopher Cheatham Christopher Cheatham President & CEO 2018-12-26