0001655101-16-000006.txt : 20160930 0001655101-16-000006.hdr.sgml : 20160930 20160930163502 ACCESSION NUMBER: 0001655101-16-000006 CONFORMED SUBMISSION TYPE: D/A PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20160930 DATE AS OF CHANGE: 20160930 EFFECTIVENESS DATE: 20160930 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Patient Identification Platform, Inc. CENTRAL INDEX KEY: 0001655101 IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D/A SEC ACT: 1933 Act SEC FILE NUMBER: 021-249123 FILM NUMBER: 161913222 BUSINESS ADDRESS: STREET 1: 2300 BUFFALO ROAD STREET 2: BUILDING 200 CITY: ROCHESTER STATE: NY ZIP: 14624 BUSINESS PHONE: 844-845-4413 MAIL ADDRESS: STREET 1: 2300 BUFFALO ROAD STREET 2: BUILDING 200 CITY: ROCHESTER STATE: NY ZIP: 14624 FORMER COMPANY: FORMER CONFORMED NAME: Patient ID Platform Inc. DATE OF NAME CHANGE: 20160208 FORMER COMPANY: FORMER CONFORMED NAME: Untangled Healthcare Innovations, LLC DATE OF NAME CHANGE: 20151007 D/A 1 primary_doc.xml X0707 D/A LIVE 0001655101 Patient Identification Platform, Inc. 1822 South Winton Road ROCHESTER NY NEW YORK 14618 844-845-4413 DELAWARE Patient ID Platform Inc. Untangled Healthcare Innovations, LLC Corporation true 2014 Michael Margiotta c/o Patient Identification Platform,Inc. 1822 South Winton Road Rochester NY NEW YORK 14618 Executive Officer Director Other Health Care Decline to Disclose 06b true 0001655101-16-000005 2015-09-24 true true true false 0 2000000 1321000 679000 false 21 0 0 0 false Patient Identification Platform, Inc. /s/ Michael Margiotta Michael Margiotta President and CEO 2016-09-30