0001643103-18-000003.txt : 20181119 0001643103-18-000003.hdr.sgml : 20181119 20181116174654 ACCESSION NUMBER: 0001643103-18-000003 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20181119 DATE AS OF CHANGE: 20181116 EFFECTIVENESS DATE: 20181119 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: 021-326046 FILM NUMBER: 181190821 BUSINESS ADDRESS: STREET 1: 214 WILSHIRE BLVD. STREET 2: 2ND FLOOR CITY: SANTA MONICA STATE: CA ZIP: 90401 BUSINESS PHONE: 844-487-8399 MAIL ADDRESS: STREET 1: 214 WILSHIRE BLVD. STREET 2: 2ND FLOOR CITY: SANTA MONICA STATE: CA ZIP: 90401 D 1 primary_doc.xml X0708 D LIVE 0001643103 PatientPop, Inc. 214 WILSHIRE BLVD. 2ND FLOOR SANTA MONICA CA CALIFORNIA 90401 844-487-8399 DELAWARE None None Corporation true 2014 Travis Schneider 214 Wilshire Blvd. 2nd Floor Santa Monica CA CALIFORNIA 90401 Executive Officer Director Luke Kervin 214 Wilshire Blvd. 2nd Floor Santa Monica CA CALIFORNIA 90401 Executive Officer Director Jason Gardner 214 Wilshire Blvd. 2nd Floor Santa Monica CA CALIFORNIA 90401 Executive Officer Patrick Mathieson 214 Wilshire Blvd. 2nd Floor Santa Monica CA CALIFORNIA 90401 Director Douglas Garn 214 Wilshire Blvd. 2nd Floor Santa Monica CA CALIFORNIA 90401 Director Other Decline to Disclose 06b false 2018-10-22 false true false 0 24999990 14999998 9999992 false 1 0 0 0 false PatientPop, Inc. /s/ Jason Gardner Jason Gardner Chief Financial Officer 2018-11-07