0001710545-17-000001.txt : 20170629 0001710545-17-000001.hdr.sgml : 20170629 20170629113907 ACCESSION NUMBER: 0001710545-17-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20170629 DATE AS OF CHANGE: 20170629 EFFECTIVENESS DATE: 20170629 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Medically Home Group, Inc. CENTRAL INDEX KEY: 0001710545 IRS NUMBER: 811022962 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-289695 FILM NUMBER: 17937318 BUSINESS ADDRESS: STREET 1: 191 POST ROAD WEST CITY: WESTPORT STATE: CT ZIP: 06880 BUSINESS PHONE: 617-585-9600 MAIL ADDRESS: STREET 1: 191 POST ROAD WEST CITY: WESTPORT STATE: CT ZIP: 06880 D 1 primary_doc.xml X0707 D LIVE 0001710545 Medically Home Group, Inc. 191 POST ROAD WEST Westport CT CONNECTICUT 06880 617-585-9600 DELAWARE Medically Home, LLC None Corporation true 2017 Richard Rakowski c/o Medically Home Group, Inc. 191 Post Road West Westport CT CONNECTICUT 06880 Executive Officer Director Promoter Andrew Lipman c/o Medically Home Group, Inc. 191 Post Road West Westport CT CONNECTICUT 06880 Executive Officer Director Promoter Steve Strongwater c/o Medically Home Group, Inc. 191 Post Road West Westport CT CONNECTICUT 06880 Director Rami Karjian c/o Medically Home Group, Inc. 191 Post Road West Westport CT CONNECTICUT 06880 Executive Officer Other Health Care Decline to Disclose 06b false 2017-06-23 false true false 0 12000000 4000000 8000000 false 4 0 0 0 false Medically Home Group, Inc. /s/ Richard Rakowski Richard Rakowski President & CEO 2017-06-29