0001676251-17-000001.txt : 20170518 0001676251-17-000001.hdr.sgml : 20170518 20170518131902 ACCESSION NUMBER: 0001676251-17-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20170518 DATE AS OF CHANGE: 20170518 EFFECTIVENESS DATE: 20170518 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Clarify Health Solutions, Inc. CENTRAL INDEX KEY: 0001676251 IRS NUMBER: 475611020 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-287020 FILM NUMBER: 17854298 BUSINESS ADDRESS: STREET 1: 505 MONTGOMERY STREET STREET 2: SUITE 1025 CITY: SAN FRANCISCO STATE: CA ZIP: 94111 BUSINESS PHONE: (844) 425-2743 MAIL ADDRESS: STREET 1: 505 MONTGOMERY STREET STREET 2: SUITE 1025 CITY: SAN FRANCISCO STATE: CA ZIP: 94111 D 1 primary_doc.xml X0707 D LIVE 0001676251 Clarify Health Solutions, Inc. 55 2nd Street Suite 575 SAN FRANCISCO CA CALIFORNIA 94105 (844) 425-2743 DELAWARE None None Corporation true 2015 Jean Drouin 55 2nd Street Suite 575 San Francisco CA CALIFORNIA 94105 Executive Officer Director Todd Gottula 55 2nd Street Suite 575 San Francisco CA CALIFORNIA 94105 Executive Officer Director John H. Cochran 55 2nd Street Suite 575 San Francisco CA CALIFORNIA 94105 Director Other Technology Decline to Disclose 06b false 2017-05-03 false true true Preferred stock and common stock issuable upon conversion of the convertible equity instrument. false 0 5000000 3735503 1264497 false 31 0 0 0 false Clarify Health Solutions, Inc. /s/ Jean Drouin Jean Drouin President 2017-05-17