0001656826-16-000003.txt : 20160211 0001656826-16-000003.hdr.sgml : 20160211 20160211112202 ACCESSION NUMBER: 0001656826-16-000003 CONFORMED SUBMISSION TYPE: D/A PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06c FILED AS OF DATE: 20160211 DATE AS OF CHANGE: 20160211 EFFECTIVENESS DATE: 20160211 FILER: COMPANY DATA: COMPANY CONFORMED NAME: One Medical Passport, Inc. CENTRAL INDEX KEY: 0001656826 IRS NUMBER: 474582910 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D/A SEC ACT: 1933 Act SEC FILE NUMBER: 021-253248 FILM NUMBER: 161409376 BUSINESS ADDRESS: STREET 1: 156 RIVER ROAD STE 2301, PO BOX 69 CITY: WILLINGTON STATE: CT ZIP: 06279 BUSINESS PHONE: 8604771200 MAIL ADDRESS: STREET 1: 156 RIVER ROAD STE 2301, PO BOX 69 CITY: WILLINGTON STATE: CT ZIP: 06279 D/A 1 primary_doc.xml X0707 D/A LIVE 0001656826 One Medical Passport, Inc. 156 RIVER ROAD STE 2301, PO BOX 69 WILLINGTON CT CONNECTICUT 06279 8604771200 DELAWARE None None Corporation true 2015 Stephen T Punzak 156 River Road Suite 2301 Willington CT CONNECTICUT 06279 Executive Officer Director Scott Palmer 156 River Road Suite 2301 Willington CT CONNECTICUT 06279 Executive Officer Director Christoph Hoffmann 156 River Road Suite 2301 Willington CT CONNECTICUT 06279 Director Stephen Earnhart 156 River Road Suite 2301 Willington CT CONNECTICUT 06279 Director Matthew King 156 River Road Suite 2301 Willington CT CONNECTICUT 06279 Director John Burch 156 River Road Suite 2301 Willington CT CONNECTICUT 06279 Director Andrew Bouldin 156 River Road Suite 2301 Willington CT CONNECTICUT 06279 Director Computers Decline to Disclose 06c true 0001656826-15-000001 2015-11-10 true true true false 750000 NA None None None NA NA NA XX Unknown NA TN TENNESSEE false 4000000 1500000 2500000 false 1 0 0 NA 0 false One Medical Passport, Inc. /s/ Stephen T. Punzak Stephen Punzak CEO 2016-02-10