0001080368-19-000011.txt : 20190327 0001080368-19-000011.hdr.sgml : 20190327 20190326174907 ACCESSION NUMBER: 0001080368-19-000011 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20190327 DATE AS OF CHANGE: 20190326 EFFECTIVENESS DATE: 20190327 FILER: COMPANY DATA: COMPANY CONFORMED NAME: I-Pass Patient Safety Institute, Inc. CENTRAL INDEX KEY: 0001691252 IRS NUMBER: 812378891 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-335731 FILM NUMBER: 19706186 BUSINESS ADDRESS: STREET 1: 275 GROVE STREET, SUITE 2-400 CITY: NEWTON STATE: MA ZIP: 02466 BUSINESS PHONE: 508-740-5689 MAIL ADDRESS: STREET 1: 161 WORCESTER ROAD CITY: FRAMINGHAM STATE: MA ZIP: 01701 D 1 primary_doc.xml X0708 D LIVE 0001691252 I-Pass Patient Safety Institute, Inc. 161 Worcester Rd., Ste. 402 Framingham MA MASSACHUSETTS 01701 888-442-3899 DELAWARE None None Corporation true 2016 William Floyd 161 Worcester Rd., Ste. 402 Framingham MA MASSACHUSETTS 01701 Executive Officer Director Timothy O'Shea 161 Worcester Rd., Ste. 402 Framingham MA MASSACHUSETTS 01701 Executive Officer Director Christopher Landrigan 161 Worcester Rd., Ste. 402 Framingham MA MASSACHUSETTS 01701 Director Nancy D. Spector 161 Worcester Rd., Ste. 402 Framingham MA MASSACHUSETTS 01701 Director Amy J. Starmer 161 Worcester Rd., Ste. 402 Framingham MA MASSACHUSETTS 01701 Director Theodore C Sectish 161 Worcester Rd., Ste. 402 Framingham MA MASSACHUSETTS 01701 Director Zachary M. Zeitlin 161 Worcester Rd., Ste. 402 Framingham MA MASSACHUSETTS 01701 Director Scott Pitt 161 Worcester Rd., Ste. 402 Framingham MA MASSACHUSETTS 01701 Executive Officer Other Technology Decline to Disclose 06b false 2019-03-08 false true true false 5000 700000 350000 350000 false 2 0 0 0 false I-Pass Patient Safety Institute, Inc. /Scott Pitt/ Scott Pitt CFO 2019-03-26