0001635995-15-000003.txt : 20150601 0001635995-15-000003.hdr.sgml : 20150601 20150601160339 ACCESSION NUMBER: 0001635995-15-000003 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20150601 DATE AS OF CHANGE: 20150601 EFFECTIVENESS DATE: 20150601 FILER: COMPANY DATA: COMPANY CONFORMED NAME: CCCofNY, Inc. CENTRAL INDEX KEY: 0001635995 IRS NUMBER: 473080283 STATE OF INCORPORATION: NY FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-240893 FILM NUMBER: 15903368 BUSINESS ADDRESS: STREET 1: ONE OLD COUNTRY ROAD, SUITE 125 CITY: CARLE PLACE STATE: NY ZIP: 11514 BUSINESS PHONE: 212-837-8333 MAIL ADDRESS: STREET 1: ONE OLD COUNTRY ROAD, SUITE 125 CITY: CARLE PLACE STATE: NY ZIP: 11514 FORMER COMPANY: FORMER CONFORMED NAME: Medicine Box, Inc. DATE OF NAME CHANGE: 20150309 D 1 primary_doc.xml X0707 D LIVE 0001635995 CCCofNY, Inc. ONE OLD COUNTRY ROAD, SUITE 125 CARLE PLACE NY NEW YORK 11514 212-837-8333 NEW YORK Medicine Box, Inc. Corporation true 2014 Richard W. Lerner 1605 Blenheim Road Rockville Centre NY NEW YORK 11570 Executive Officer Director Barry Farkas 5314-16th Avenue, Suite 287 Brooklyn NY NEW YORK 11204 Executive Officer Director Kimberly Lerner 161 Hidden Ridge Drive Syosset NY NEW YORK 11791 Director Larry I. Good 444 Merrick Road Lynbrook NY NEW YORK 11563 Executive Officer Jerald Politzer 2580 South Ocean Blvd., Apt. 1A6 Palm Beach FL FLORIDA 33480 Executive Officer Neil Closner 70 Elmsthorpe Avenue, Suite 201 Toronto A6 ONTARIO, CANADA ON M5P 2L7 Executive Officer Director Suzanne A. Sisley 12622 North 81st Street Scottsdale AZ ARIZONA 85260-5232 Executive Officer Bruce P. Burnett 1031 W. Tropical Way Plantation FL FLORIDA 33317 Executive Officer Other Health Care No Revenues 06b false true false true false 0 20000000 0 20000000 false 0 0 0 0 false CCCofNY, Inc. Richard Lerner Richard Lerner Vice Preisdent 2015-06-01