0001639542-17-000002.txt : 20171213 0001639542-17-000002.hdr.sgml : 20171213 20171213145452 ACCESSION NUMBER: 0001639542-17-000002 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20171213 DATE AS OF CHANGE: 20171213 EFFECTIVENESS DATE: 20171213 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: 021-300630 FILM NUMBER: 171253654 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 X0708 D LIVE 0001639542 CrossChx, Inc. 99 EAST MAIN STREET COLUMBUS OH OHIO 43215 (800) 501-3161 DELAWARE None None Corporation true Sean Lane 99 East Main Street Columbus OH OHIO 43215 Executive Officer Christopher Olsen 99 East Main Street Columbus OH OHIO 433215 Director Carlton Fox 99 East Main Street Columbus OH OHIO 43215 Executive Officer Bradley Mascho 99 East Main Street Columbus OH OHIO 43215 Director David Agus 99 East Main Street Columbus OH OHIO 43215 Director Other Technology Decline to Disclose 06b false 2017-05-26 false true false 100000 7500000 5000000 2500000 false 2 0 0 0 false CrossChx, Inc. /s/Sean L. Lane Sean L. Lane Chief Operating Officer 2017-12-13