0001675297-18-000001.txt : 20180515 0001675297-18-000001.hdr.sgml : 20180515 20180515103544 ACCESSION NUMBER: 0001675297-18-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20180515 DATE AS OF CHANGE: 20180515 EFFECTIVENESS DATE: 20180515 FILER: COMPANY DATA: COMPANY CONFORMED NAME: PriorAuthNow, Inc CENTRAL INDEX KEY: 0001675297 IRS NUMBER: 812335644 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-312382 FILM NUMBER: 18834000 BUSINESS ADDRESS: STREET 1: 200 EAST CAMPUS VIEW BLVD STREET 2: SUITE 200 CITY: COLUMBUS STATE: OH ZIP: 43235 BUSINESS PHONE: 614-300-5850 MAIL ADDRESS: STREET 1: 200 EAST CAMPUS VIEW BLVD STREET 2: SUITE 200 CITY: COLUMBUS STATE: OH ZIP: 43235 D 1 primary_doc.xml X0708 D LIVE 0001675297 PriorAuthNow, Inc 100 EAST CAMPUS VIEW BLVD SUITE 140 COLUMBUS OH OHIO 43235 614-412-1840 DELAWARE None None Corporation true 2016 Joe Anstine 100 East Campus View Blvd. Suite 140 Columbus OH OHIO 43235 Executive Officer Director Amol Arora 100 East Campus View Blvd. Suite 140 Columbus OH OHIO 43235 Director Claus von Zychlin 100 East Campus View Blvd. Suite 140 Columbus OH OHIO 43235 Director Mike Blackwell 100 East Campus View Blvd. Suite 140 Columbus OH OHIO 43235 Executive Officer Director Sarath Degala 3575 Piedmont Rd. NE 730 Atlanta GA GEORGIA 30305 Director Other Technology Decline to Disclose 06b false 2018-04-17 false true true true false 0 Indefinite 10567548 Indefinite false 12 0 0 400000 true false PriorAuthNow, Inc /s/ Mark K. Stansbury Mark K. Stansbury Company Counsel 2018-05-15