0001645671-15-000001.txt : 20150619 0001645671-15-000001.hdr.sgml : 20150619 20150619111147 ACCESSION NUMBER: 0001645671-15-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20150619 DATE AS OF CHANGE: 20150619 EFFECTIVENESS DATE: 20150619 FILER: COMPANY DATA: COMPANY CONFORMED NAME: PhotoniCare, Inc. CENTRAL INDEX KEY: 0001645671 IRS NUMBER: 463073630 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-242155 FILM NUMBER: 15941650 BUSINESS ADDRESS: STREET 1: 60 HAZELWOOD DR. CITY: CHAMPAIGN STATE: IL ZIP: 61820 BUSINESS PHONE: (405) 880-7209 MAIL ADDRESS: STREET 1: 60 HAZELWOOD DR. CITY: CHAMPAIGN STATE: IL ZIP: 61820 D 1 primary_doc.xml X0707 D LIVE 0001645671 PhotoniCare, Inc. 60 HAZELWOOD DR. CHAMPAIGN IL ILLINOIS 61820 (405) 880-7209 DELAWARE None None Corporation true 2013 Ryan Shelton 60 Hazelwood Dr. Champaign IL ILLINOIS 61820 Executive Officer Director Member of the Board of Directors and CEO Gary Durack 60 Hazelwood Dr. Champaign IL ILLINOIS 61820 Director Member of the Board of Directors Stephen Boppart 60 Hazelwood Dr. Champaign IL ILLINOIS 61820 Executive Officer CMO Other Health Care Decline to Disclose 06b false 2015-06-05 false true true false 0 500000 250000 250000 false 4 0 0 0 false PhotoniCare, Inc. Ryan Shelton Ryan Shelton CEO 2015-06-19