0001618426-16-000003.txt : 20160909 0001618426-16-000003.hdr.sgml : 20160909 20160908181648 ACCESSION NUMBER: 0001618426-16-000003 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20160909 DATE AS OF CHANGE: 20160908 EFFECTIVENESS DATE: 20160909 FILER: COMPANY DATA: COMPANY CONFORMED NAME: ClariCare, Inc. CENTRAL INDEX KEY: 0001618426 IRS NUMBER: 464498082 STATE OF INCORPORATION: IN FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-270342 FILM NUMBER: 161877354 BUSINESS ADDRESS: STREET 1: 213 W. WESTFIELD BLVD. CITY: INDIANAPOLIS STATE: IN ZIP: 46208 BUSINESS PHONE: 574-274-0326 MAIL ADDRESS: STREET 1: 213 W. WESTFIELD BLVD. CITY: INDIANAPOLIS STATE: IN ZIP: 46208 FORMER COMPANY: FORMER CONFORMED NAME: ClariCare, LLC DATE OF NAME CHANGE: 20140902 D 1 primary_doc.xml X0707 D LIVE 0001618426 ClariCare, Inc. 1848 Lafayette Ave. Columbus IN INDIANA 47201 574-274-0326 INDIANA ClariCare, LLC Corporation true 2013 Patrick Malloy 5533 N Illinois St. Indianapolis IN INDIANA 46208 Executive Officer Director George Devidze 1848 Lafayette Ave. Columbus IN INDIANA 47201 Director Carrie Pumphrey 1848 Lafayette Ave. Columbus IN INDIANA 47201 Director Other Technology Decline to Disclose 06b false 2016-08-30 false true true false 0 40000 40000 0 false 1 0 0 0 false ClariCare, Inc. /s/Patrick Malloy Patrick Malloy Co-Founder & Executive Vice President 2016-09-07