0001688076-20-000001.txt : 20200214 0001688076-20-000001.hdr.sgml : 20200214 20200214141642 ACCESSION NUMBER: 0001688076-20-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20200214 DATE AS OF CHANGE: 20200214 EFFECTIVENESS DATE: 20200214 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Carevive Systems, Inc. CENTRAL INDEX KEY: 0001688076 IRS NUMBER: 461940894 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-360658 FILM NUMBER: 20617914 BUSINESS ADDRESS: STREET 1: 11900 BISCAYNE BOULEVARD STREET 2: SUITE 110 CITY: NORTH MIAMI STATE: FL ZIP: 33181 BUSINESS PHONE: 305-778-1870 MAIL ADDRESS: STREET 1: 11900 BISCAYNE BOULEVARD STREET 2: SUITE 110 CITY: NORTH MIAMI STATE: FL ZIP: 33181 D 1 primary_doc.xml X0708 D LIVE 0001688076 Carevive Systems, Inc. 11900 BISCAYNE BOULEVARD SUITE 630 NORTH MIAMI FL FLORIDA 33181 (800) 460-3790 DELAWARE On Q Health, Inc. None Corporation true Madelyn Trupkin Herzfeld c/o Carevive Systems 11900 Biscayne Boulevard, Suite 630 North Miami FL FLORIDA 33181 Executive Officer Director Edward L. Cahill c/o Carevive Systems 11900 Biscayne Boulevard, Suite 630 North Miami FL FLORIDA 33181 Director William R. Cowen c/o Carevive Systems 11900 Biscayne Boulevard, Suite 630 North Miami FL FLORIDA 33181 Director Kevin Smith c/o Carevive Systems 11900 Biscayne Boulevard, Suite 630 North Miami FL FLORIDA 33181 Director Evan Castiglia c/o Carevive Systems 11900 Biscayne Boulevard, Suite 630 North Miami FL FLORIDA 33181 Director Tom Gibbs c/o Carevive Systems 11900 Biscayne Boulevard, Suite 630 North Miami FL FLORIDA 33181 Director Other Technology Decline to Disclose 06b false 2020-01-30 false true false 0 17999993 14955871 3044122 Amount sold includes $7,455,877.99 from conversion of promissory notes and $7,499,993.00 from foreign investors. false 8 0 0 0 false Carevive Systems, Inc. /s/Madelyn Trupkin Herzfeld Madelyn Trupkin Herzfeld President and Chief Executive Officer 2020-02-14