0001682142-21-000001.txt : 20211029 0001682142-21-000001.hdr.sgml : 20211029 20211029081741 ACCESSION NUMBER: 0001682142-21-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20211029 DATE AS OF CHANGE: 20211029 EFFECTIVENESS DATE: 20211029 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Circuit Clinical Solutions Inc. CENTRAL INDEX KEY: 0001682142 IRS NUMBER: 813198769 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-419148 FILM NUMBER: 211360762 BUSINESS ADDRESS: STREET 1: 1 WEST SENECA STREET STREET 2: 24TH FLOOR CITY: BUFFALO STATE: NY ZIP: 14203 BUSINESS PHONE: 8007205430 MAIL ADDRESS: STREET 1: 1 WEST SENECA STREET STREET 2: 24TH FLOOR CITY: BUFFALO STATE: NY ZIP: 14203 FORMER COMPANY: FORMER CONFORMED NAME: Empirican Group Inc. DATE OF NAME CHANGE: 20160811 D 1 primary_doc.xml X0708 D LIVE 0001682142 Circuit Clinical Solutions Inc. 1 WEST SENECA STREET 24TH FLOOR BUFFALO NY NEW YORK 14203 800-720-5430 DELAWARE Empirican Group Inc. Corporation true Kerry R. Hicks 1 West Seneca Street 24th Floor Buffalo NY NEW YORK 14203 Director Mats Wahlstrom 1 West Seneca Street 24th Floor Buffalo NY NEW YORK 14203 Director Irfan Khan 1 West Seneca Street 24th Floor Buffalo NY NEW YORK 14203 Executive Officer Director Raymond J Stapell 1 West Seneca Street 24th Floor Buffalo NY NEW YORK 14203 Executive Officer Michael Schooley 1 West Seneca Street 24th Floor Buffalo NY NEW YORK 14203 Executive Officer Jennifer Crisp 1 West Seneca Street 24th Floor Buffalo NY NEW YORK 14203 Executive Officer Katherine Sullivan 1 West Seneca Street 24th Floor Buffalo NY NEW YORK 14203 Executive Officer Craig Lipset 1 West Senea Street 24th Floor Buffalo NY NEW YORK 14203 Director Jackie Kent 1 West Seneca Street 24th Floor Buffalo NY NEW YORK 14203 Director Other Health Care Decline to Disclose 06b false 2021-10-15 false true false 0 30000000 14455138 15544862 false 13 0 0 0 false Circuit Clinical Solutions Inc. Irfan A. Khan, MD Irfan A. Khan, MD CEO 2021-10-28