0001646841-15-000001.txt : 20150702 0001646841-15-000001.hdr.sgml : 20150702 20150702140234 ACCESSION NUMBER: 0001646841-15-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20150702 DATE AS OF CHANGE: 20150702 EFFECTIVENESS DATE: 20150702 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Cloudbreak Health, LLC CENTRAL INDEX KEY: 0001646841 IRS NUMBER: 474148046 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-243008 FILM NUMBER: 15968676 BUSINESS ADDRESS: STREET 1: 1103 SCHROCK ROAD STREET 2: SUITE 200 CITY: COLUMBUS STATE: OH ZIP: 43229 BUSINESS PHONE: (614) 468-6000 MAIL ADDRESS: STREET 1: 1103 SCHROCK ROAD STREET 2: SUITE 200 CITY: COLUMBUS STATE: OH ZIP: 43229 D 1 primary_doc.xml X0707 D LIVE 0001646841 Cloudbreak Health, LLC 1103 SCHROCK ROAD SUITE 200 COLUMBUS OH OHIO 43229 (614) 468-6000 DELAWARE None None Limited Liability Company true 2015 Nathan Locke 1103 Schrock Road Suite 200 Columbus OH OHIO 43229 Director Member of board of managers James B. Edwards 1103 Schrock Road Suite 200 Columbus OH OHIO 43229 Executive Officer Director Member of board of managers, President and Chief Executive Officer William M. Hannan III 1103 Schrock Road Suite 200 Columbus OH OHIO 43229 Executive Officer Director Member of board of managers, Treasurer and Chief Financial Officer Irv Edwards 1103 Schrock Road Suite 200 Columbus OH OHIO 43229 Director Member of board of managers Andrew Panos 1103 Schrock Road Suite 200 Columbus OH OHIO 43229 Executive Officer Secretary Other Health Care Decline to Disclose 06b false 2015-06-22 false true true 0 40173500 40173500 0 $15,000,000 in Cash for Series A Preferred Units; Contribution of equity interest in a limited liability company exchange for Common Units of Issuer. Contribution valued at $25,173,500 false 8 0 0 0 false Cloudbreak Health, LLC /s/ James B. Edwards James B. Edwards Chief Executive Officer 2015-07-01