0001660209-16-000004.txt : 20161121 0001660209-16-000004.hdr.sgml : 20161121 20161121134854 ACCESSION NUMBER: 0001660209-16-000004 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20161121 DATE AS OF CHANGE: 20161121 EFFECTIVENESS DATE: 20161121 FILER: COMPANY DATA: COMPANY CONFORMED NAME: MELODY HEALTH INSURANCE, INC. CENTRAL INDEX KEY: 0001660209 IRS NUMBER: 475391343 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-274880 FILM NUMBER: 162009909 BUSINESS ADDRESS: STREET 1: 1550 17TH STREET STREET 2: SUITE 500 CITY: DENVER STATE: CO ZIP: 80202 BUSINESS PHONE: 303-892-9400 MAIL ADDRESS: STREET 1: 1550 17TH STREET STREET 2: SUITE 500 CITY: DENVER STATE: CO ZIP: 80202 D 1 primary_doc.xml X0707 D LIVE 0001660209 MELODY HEALTH INSURANCE, INC. 600 17th Street, Suite 610S DENVER CO COLORADO 80202 720-437-8874 DELAWARE None None Corporation true 2015 Salvatore Gentile 600 17th Street, Suite 610S Denver CO COLORADO 80202 Executive Officer Director David Pinkert 600 17th Street, Suite 610S Denver CO COLORADO 80202 Executive Officer Director Eduardo Cruz 600 17th Street, Suite 610S Denver CO COLORADO 80202 Director Michael Pinkert 600 17th Street, Suite 610S Denver CO COLORADO 80202 Director Health Insurance Decline to Disclose 06b false 2016-11-08 false true true false 0 1000000 1000000 0 false 1 0 0 0 false MELODY HEALTH INSURANCE, INC. /s/ Salvatore Gentile Salvatore Gentile Chief Executive Officer 2016-11-15