0001706305-22-000002.txt : 20220912 0001706305-22-000002.hdr.sgml : 20220912 20220912125050 ACCESSION NUMBER: 0001706305-22-000002 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20220912 DATE AS OF CHANGE: 20220912 EFFECTIVENESS DATE: 20220912 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Upfront Healthcare Services, Inc. CENTRAL INDEX KEY: 0001706305 IRS NUMBER: 811520729 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-458555 FILM NUMBER: 221238126 BUSINESS ADDRESS: STREET 1: 600 W. JACKSON BLVD. STREET 2: SUITE 100 CITY: CHICAGO STATE: IL ZIP: 60661 BUSINESS PHONE: 8474304442 MAIL ADDRESS: STREET 1: 600 W. JACKSON BLVD. STREET 2: SUITE 100 CITY: CHICAGO STATE: IL ZIP: 60661 D 1 primary_doc.xml X0708 D LIVE 0001706305 Upfront Healthcare Services, Inc. 500 W. Madison St. Suite 810 CHICAGO IL ILLINOIS 60661 8474304442 DELAWARE None None Corporation true Benjamin Albert 500 W. Madison St. Suite 810 Chicago IL ILLINOIS 60661 Executive Officer Director Robert Coppedge 500 W. Madison St. Suite 810 Chicago IL ILLINOIS 60661 Director Jonathan Phillips 500 W. Madison St. Suite 810 Chicago IL ILLINOIS 60661 Director Carrie Kozlowski 500 W. Madison St. Suite 810 Chicago IL ILLINOIS 60661 Executive Officer Justin Dearborn 500 W. Madison St. Suite 810 Chicago IL ILLINOIS 60661 Director Keith Figlioli 500 W. Madison St. Suite 810 Chicago IL ILLINOIS 60661 Director James Pavlik 500 W. Madison St. Suite 810 Chicago IL ILLINOIS 60661 Director Other Technology Decline to Disclose 06b false 2022-08-30 false true true false 1 10750677 9032163 1718514 false 26 0 0 0 false Upfront Healthcare Services, Inc. /s/ Benjamin Albert Benjamin Albert Chief Executive Officer 2022-09-12