0001701060-21-000004.txt : 20210211 0001701060-21-000004.hdr.sgml : 20210211 20210211160210 ACCESSION NUMBER: 0001701060-21-000004 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20210211 DATE AS OF CHANGE: 20210211 EFFECTIVENESS DATE: 20210211 FILER: COMPANY DATA: COMPANY CONFORMED NAME: PatientBond, Inc. CENTRAL INDEX KEY: 0001701060 IRS NUMBER: 861601624 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-389203 FILM NUMBER: 21619521 BUSINESS ADDRESS: STREET 1: 126 N. YORK ST., SUITE 2 CITY: ELMHURST STATE: IL ZIP: 60126 BUSINESS PHONE: 7086178130 MAIL ADDRESS: STREET 1: 126 N. YORK ST., SUITE 2 CITY: ELMHURST STATE: IL ZIP: 60126 FORMER COMPANY: FORMER CONFORMED NAME: PatientBond, LLC DATE OF NAME CHANGE: 20170315 D 1 primary_doc.xml X0708 D LIVE 0001701060 PatientBond, Inc. 126 N. YORK ST., SUITE 2 ELMHURST IL ILLINOIS 60126 7086178130 DELAWARE PatientBond, LLC Corporation true Justin Dearborn 126 N. York Street Suite 2 Elmhurst IL ILLINOIS 60126 Executive Officer Director Anurag Juneja 126 N. York Street Suite 2 Elmhurst IL ILLINOIS 60126 Executive Officer Director Mark Kroeger 126 N. York Street Suite 2 Elmhurst IL ILLINOIS 60126 Executive Officer Director Beth Dreyer 126 N. York Street Suite 2 Elmhurst IL ILLINOIS 60126 Executive Officer Jonathan Phillips 126 N. York Street Suite 2 Elmhurst IL ILLINOIS 60126 Director James Casey Albertson 126 N. York Street Suite 2 Elmhurst IL ILLINOIS 60126 Director Nasrin Thierer 126 N. York Street Suite 2 Elmhurst IL ILLINOIS 60126 Director Nicholas Gialamas 126 N. York Street Suite 2 Elmhurst IL ILLINOIS 60126 Director Other Technology Decline to Disclose 06b false 2021-01-29 false true false 3000 8800000 8187494 612506 false 20 0 0 0 true false PatientBond, Inc. Nichole M. F. Siedlarczyk Nichole M. F. Siedlarczyk Authorized Representation / Attorney 2021-02-11