0001710545-18-000001.txt : 20180416
0001710545-18-000001.hdr.sgml : 20180416
20180416172716
ACCESSION NUMBER: 0001710545-18-000001
CONFORMED SUBMISSION TYPE: D/A
PUBLIC DOCUMENT COUNT: 1
ITEM INFORMATION: 06b
FILED AS OF DATE: 20180416
DATE AS OF CHANGE: 20180416
EFFECTIVENESS DATE: 20180416
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/A
SEC ACT: 1933 Act
SEC FILE NUMBER: 021-289695
FILM NUMBER: 18757420
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/A
1
primary_doc.xml
X0708
D/A
LIVE
0001710545
Medically Home Group, Inc.
191 POST ROAD WEST
WESTPORT
CT
CONNECTICUT
06880
617-585-9600
DELAWARE
Medically Home, LLC
None
Corporation
true
2016
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
David
Lee
c/o Medically Home Group, Inc.
191 Post Road West
Westport
CT
CONNECTICUT
06880
Director
Vivek
Garipalli
c/o Medically Home Group, Inc.
191 Post Road West
Westport
CT
CONNECTICUT
06880
Director
Other Health Care
Decline to Disclose
- 06b
true
0001710545-17-000001
2017-06-23
false
true
false
0
16000000
14035000
1965000
false
14
0
0
0
false
Medically Home Group, Inc.
/s/ Richard Rakowski
Richard Rakowski
President & CEO
2018-04-16