0001675297-19-000001.txt : 20190220 0001675297-19-000001.hdr.sgml : 20190220 20190219220345 ACCESSION NUMBER: 0001675297-19-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20190220 DATE AS OF CHANGE: 20190219 EFFECTIVENESS DATE: 20190220 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: 021-333148 FILM NUMBER: 19616980 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 (888) 213-3728 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 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 2019-01-24 false true false 0 Indefinite 6224406 Indefinite false 6 0 0 400000 true false PriorAuthNow, Inc /s/ Mark K. Stansbury Mark K. Stansbury Company Counsel 2019-02-19