0001643103-15-000002.txt : 20151119 0001643103-15-000002.hdr.sgml : 20151119 20151118193900 ACCESSION NUMBER: 0001643103-15-000002 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20151119 DATE AS OF CHANGE: 20151118 EFFECTIVENESS DATE: 20151119 FILER: COMPANY DATA: COMPANY CONFORMED NAME: PatientPop, Inc. CENTRAL INDEX KEY: 0001643103 IRS NUMBER: 465328697 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-251540 FILM NUMBER: 151241991 BUSINESS ADDRESS: STREET 1: 610 SANTA MONICA BOULEVARD STREET 2: SUITE 226 CITY: SANTA MONICA STATE: CA ZIP: 90401 BUSINESS PHONE: 310-699-0161 MAIL ADDRESS: STREET 1: 610 SANTA MONICA BOULEVARD STREET 2: SUITE 226 CITY: SANTA MONICA STATE: CA ZIP: 90401 D 1 primary_doc.xml X0707 D LIVE 0001643103 PatientPop, Inc. 1221 2nd Street Suite 400 Santa Monica CA CALIFORNIA 90401 (310)669-0161 DELAWARE None None Corporation true 2014 Travis Schneider 1221 2nd Street Suite 400 Santa Monica CA CALIFORNIA 90401 Executive Officer Director Co-Chief Executive Officer Luke Kervin 1221 2nd Street Suite 400 Santa Monica CA CALIFORNIA 90401 Executive Officer Director Co-Chief Executive Officer Patrick Mathieson 1221 2nd Street Suite 400 Santa Monica CA CALIFORNIA 90401 Director Kyle Armbrester 1221 2nd Street Suite 400 Santa Monica CA CALIFORNIA 90401 Director Other Decline to Disclose 06b false 2015-11-04 false true false 0 10034999 9034998 1000001 false 3 0 0 0 false PatientPop, Inc. /s/ Luke Kervin Luke Kervin Co-Chief Executive Officer 2015-11-18