0001015325-15-000026.txt : 20151005 0001015325-15-000026.hdr.sgml : 20151005 20151005163620 ACCESSION NUMBER: 0001015325-15-000026 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20151005 DATE AS OF CHANGE: 20151005 EFFECTIVENESS DATE: 20151005 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Healthipass Inc. CENTRAL INDEX KEY: 0001654812 IRS NUMBER: 462247827 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-248773 FILM NUMBER: 151143714 BUSINESS ADDRESS: STREET 1: 1770 PARK STREET, SUITE #102 CITY: NAPERVILLE STATE: IL ZIP: 60563 BUSINESS PHONE: (855) 484-4727 MAIL ADDRESS: STREET 1: 1770 PARK STREET, SUITE #102 CITY: NAPERVILLE STATE: IL ZIP: 60563 D 1 primary_doc.xml X0707 D LIVE 0001654812 Healthipass Inc. 1770 PARK STREET, SUITE #102 NAPERVILLE IL ILLINOIS 60563 (855) 484-4727 DELAWARE None None Corporation true 2013 Rajesh Voddiraju c/o Healthipass Inc. 1770 Park Street, Suite #102 Naperville IL ILLINOIS 60563 Executive Officer Director Promoter Thirumal Nellutla c/o Healthipass Inc. 1770 Park Street, Suite #102 Naperville IL ILLINOIS 60563 Director Promoter Other Health Care Decline to Disclose 06b false 2015-09-11 false true false 0 2000000 1075000 925000 false 8 0 0 0 false Healthipass Inc. /s/ Rajesh Voddiraju Rajesh Voddiraju Chief Executive Officer 2015-10-05