0001019687-15-003216.txt : 20150820 0001019687-15-003216.hdr.sgml : 20150820 20150820092816 ACCESSION NUMBER: 0001019687-15-003216 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20150820 DATE AS OF CHANGE: 20150820 EFFECTIVENESS DATE: 20150820 FILER: COMPANY DATA: COMPANY CONFORMED NAME: MediWallet, Inc. CENTRAL INDEX KEY: 0001651370 IRS NUMBER: 473880247 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-246134 FILM NUMBER: 151065472 BUSINESS ADDRESS: STREET 1: 225 SOUTH GRAND AVENUE STREET 2: SUITE 1004 CITY: LOS ANGELES STATE: CA ZIP: 90012 BUSINESS PHONE: 831-224-5133 MAIL ADDRESS: STREET 1: 225 SOUTH GRAND AVENUE STREET 2: SUITE 1004 CITY: LOS ANGELES STATE: CA ZIP: 90012 D 1 primary_doc.xml X0707 D LIVE 0001651370 MediWallet, Inc. 225 S. GRAND AVE. #1004 LOS ANGELES CA CALIFORNIA 90012 831-224-5133 DELAWARE None None Corporation true 2015 Takesh Hayashi 225 S. GRAND AVE. #1004 LOS ANGELES CA CALIFORNIA 90012 Executive Officer Director Other Health Care $1 - $1,000,000 06b false true false true true Equity - Common stock false 10000 2000000 0 2000000 false 0 24000 true 0 0 false MediWallet, Inc. /s/ Takesh Hayashi Takesh Hayashi Chief Financial Officer 2015-08-19