0001639542-16-000003.txt : 20160412 0001639542-16-000003.hdr.sgml : 20160412 20160412115514 ACCESSION NUMBER: 0001639542-16-000003 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20160412 DATE AS OF CHANGE: 20160412 EFFECTIVENESS DATE: 20160412 FILER: COMPANY DATA: COMPANY CONFORMED NAME: CrossChx, Inc. CENTRAL INDEX KEY: 0001639542 IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 1221 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-261095 FILM NUMBER: 161566692 BUSINESS ADDRESS: STREET 1: 99 EAST MAIN STREET CITY: COLUMBUS STATE: OH ZIP: 43215 BUSINESS PHONE: (800) 501-3161 MAIL ADDRESS: STREET 1: 99 EAST MAIN STREET CITY: COLUMBUS STATE: OH ZIP: 43215 D 1 primary_doc.xml X0707 D LIVE 0001639542 CrossChx, Inc. 99 EAST MAIN STREET COLUMBUS OH OHIO 43215 (800) 501-3161 DELAWARE None None Corporation true 2012 BRAD MASCHO 99 EAST MAIN STREET COLUMBUS OH OHIO 43215 Executive Officer Director LANE SEAN 99 EAST MAIN STREET COLUMBUS OH OHIO 43215 Executive Officer Director CHRISTOPHER OLSEN 99 MAIN STREET COLUMBUS OH OHIO 43215 Director Other Technology Decline to Disclose 06b false 2016-03-31 false true false 0 15450000 15450000 0 false 6 0 0 0 false CrossChx, Inc. /s/Diane L. Rose Diane L. Rose Attorney-in-Fact under Power of Attorney dated 4/10/2015 2016-04-12