0001639542-17-000004.txt : 20171214 0001639542-17-000004.hdr.sgml : 20171214 20171214101150 ACCESSION NUMBER: 0001639542-17-000004 CONFORMED SUBMISSION TYPE: D/A PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20171214 DATE AS OF CHANGE: 20171214 EFFECTIVENESS DATE: 20171214 FILER: COMPANY DATA: COMPANY CONFORMED NAME: CrossChx, Inc. CENTRAL INDEX KEY: 0001639542 IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D/A SEC ACT: 1933 Act SEC FILE NUMBER: 021-300630 FILM NUMBER: 171255354 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/A 1 primary_doc.xml X0708 D/A 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 true 0001639542-17-000002 2017-05-26 false true false 10000 7500000 5000000 2500000 false 2 0 0 0 false CrossChx, Inc. /s/ Sean L. Lane Sean L. Lane CEO 2017-12-14