0001618426-16-000004.txt : 20161130 0001618426-16-000004.hdr.sgml : 20161130 20161130094434 ACCESSION NUMBER: 0001618426-16-000004 CONFORMED SUBMISSION TYPE: D/A PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20161130 DATE AS OF CHANGE: 20161130 EFFECTIVENESS DATE: 20161130 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/A SEC ACT: 1933 Act SEC FILE NUMBER: 021-270342 FILM NUMBER: 162024139 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/A 1 primary_doc.xml X0707 D/A 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 true 0001618426-16-000003 2016-08-30 false true true false 0 230000 155000 75000 false 2 0 0 0 false ClariCare, Inc. /s/Patrick Malloy Patrick Malloy Co-Founder & Executive Vice President 2016-11-30