0001669606-17-000002.txt : 20170720 0001669606-17-000002.hdr.sgml : 20170720 20170719174216 ACCESSION NUMBER: 0001669606-17-000002 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20170720 DATE AS OF CHANGE: 20170719 EFFECTIVENESS DATE: 20170720 FILER: COMPANY DATA: COMPANY CONFORMED NAME: IllumiCare, Inc. CENTRAL INDEX KEY: 0001669606 IRS NUMBER: 464394082 STATE OF INCORPORATION: AL FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-291085 FILM NUMBER: 17973000 BUSINESS ADDRESS: STREET 1: 3332 OLD MONTGOMERY HIGHWAY, SUITE 201 CITY: BIRMINGHAM STATE: AL ZIP: 35209 BUSINESS PHONE: (205) 504-2622 MAIL ADDRESS: STREET 1: 3332 OLD MONTGOMERY HIGHWAY, SUITE 201 CITY: BIRMINGHAM STATE: AL ZIP: 35209 D 1 primary_doc.xml X0708 D LIVE 0001669606 IllumiCare, Inc. 3332 OLD MONTGOMERY HIGHWAY, SUITE 201 BIRMINGHAM AL ALABAMA 35209 (205) 504-2622 ALABAMA None None Corporation true 2014 LaBorde T. Gerald 402 Office Park Dr., #206 Birmingham AL ALABAMA 35223 Executive Officer Director Mukul Mehra 4296 Paxton Way Birmingham AL ALABAMA 35242 Executive Officer Director Other Health Care Decline to Disclose 06b false 2017-06-27 false true false 30000 3719000 3719000 0 false 12 0 0 0 false IllumiCare, Inc. Gerald T. LaBorde, Jr. Gerald T. LaBorde, Jr. Chief Executive Officer 2017-07-17