0001676251-17-000003.txt : 20171222 0001676251-17-000003.hdr.sgml : 20171222 20171222125438 ACCESSION NUMBER: 0001676251-17-000003 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20171222 DATE AS OF CHANGE: 20171222 EFFECTIVENESS DATE: 20171222 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: 021-301540 FILM NUMBER: 171272041 BUSINESS ADDRESS: STREET 1: 55 2ND STREET STREET 2: SUITE 575 CITY: SAN FRANCISCO STATE: CA ZIP: 94105 BUSINESS PHONE: (844) 425-2743 MAIL ADDRESS: STREET 1: 55 2ND STREET STREET 2: SUITE 575 CITY: SAN FRANCISCO STATE: CA ZIP: 94105 D 1 primary_doc.xml X0708 D LIVE 0001676251 Clarify Health Solutions, Inc. 140 2ND STREET SUITE 200 SAN FRANCISCO CA CALIFORNIA 94105 (415) 343-4655 DELAWARE None None Corporation true 2015 Jean Drouin 140 2nd Street Suite 200 San Francisco CA CALIFORNIA 94105 Executive Officer Director Todd Gottula 140 2nd Street Suite 200 San Francisco CA CALIFORNIA 94105 Executive Officer Director John H. Cochran 140 2nd Street Suite 200 San Francisco CA CALIFORNIA 94105 Director Other Technology Decline to Disclose 06b false 2017-12-08 false true true Preferred stock and common stock issuable upon conversion of the convertible equity instrument. false 0 8000000 5401588 2598412 false 22 0 0 0 false Clarify Health Solutions, Inc. /s/ Jean Drouin Jean Drouin CEO 2017-12-22