0001646970-15-000001.txt : 20150701 0001646970-15-000001.hdr.sgml : 20150701 20150701160455 ACCESSION NUMBER: 0001646970-15-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20150701 DATE AS OF CHANGE: 20150701 EFFECTIVENESS DATE: 20150701 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Veridicus Health, LLC CENTRAL INDEX KEY: 0001646970 IRS NUMBER: 474255499 STATE OF INCORPORATION: DE FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-242918 FILM NUMBER: 15965086 BUSINESS ADDRESS: STREET 1: 19 EAST 200 SOUTH, FLOOR 10 CITY: SALT LAKE CITY STATE: UT ZIP: 84111 BUSINESS PHONE: 801-365-0298 MAIL ADDRESS: STREET 1: 19 EAST 200 SOUTH, FLOOR 10 CITY: SALT LAKE CITY STATE: UT ZIP: 84111 D 1 primary_doc.xml X0707 D LIVE 0001646970 Veridicus Health, LLC 19 EAST 200 SOUTH, FLOOR 10 SALT LAKE CITY UT UTAH 84111 801-365-0298 DELAWARE None None Limited Liability Company true 2015 Douglas Sorensen Burgoyne 19 East 200 South, Floor 10 Salt Lake City UT UTAH 84111 Executive Officer Director Manager, President, and Chief Executive Officer Jeffrey Duane Dunn 19 East 200 South, Floor 10 Salt Lake City UT UTAH 84111 Executive Officer Director Manager, Vice President, and Chief Clinical Officer Whitney Richard Bowman 1256 Main Street, Suite 256 Southlake TX TEXAS 76092 Director Manager Drew Williams Johnson 1256 Main Street, Suite 256 Southlake TX TEXAS 76092 Director Manager Lance Roy Davis 19 East 200 South, Floor 10 Salt Lake City UT UTAH 84111 Executive Officer Chief Financial Officer Other Health Care Decline to Disclose 06b false 2015-06-19 false true false 0 15840000 15840000 0 false 1 0 0 6000000 true false Veridicus Health, LLC Douglas S. Burgoyne Douglas S. Burgoyne Chief Executive Officer 2015-06-30