0001710545-19-000002.txt : 20190523 0001710545-19-000002.hdr.sgml : 20190523 20190523102905 ACCESSION NUMBER: 0001710545-19-000002 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20190523 DATE AS OF CHANGE: 20190523 EFFECTIVENESS DATE: 20190523 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: 021-340225 FILM NUMBER: 19848357 BUSINESS ADDRESS: STREET 1: 133 BROOKLINE AVE. CITY: BOSTON STATE: MA ZIP: 02215 BUSINESS PHONE: 617-585-9600 MAIL ADDRESS: STREET 1: 133 BROOKLINE AVE. CITY: BOSTON STATE: MA ZIP: 02215 D 1 primary_doc.xml X0708 D LIVE 0001710545 Medically Home Group, Inc. 133 BROOKLINE AVE. BOSTON MA MASSACHUSETTS 02215 617-585-9600 DELAWARE Medically Home, LLC None Corporation true 2016 Richard Rakowski c/o Medically Home Group, Inc. 133 BROOKLINE AVE. BOSTON MA MASSACHUSETTS 02215 Executive Officer Director Promoter Andrew Lipman c/o Medically Home Group, Inc. 133 BROOKLINE AVE. BOSTON MA MASSACHUSETTS 02215 Executive Officer Director Promoter Steve Strongwater c/o Medically Home Group, Inc. 133 BROOKLINE AVE. BOSTON MA MASSACHUSETTS 02215 Director Rami Karjian c/o Medically Home Group, Inc. 133 BROOKLINE AVE. BOSTON MA MASSACHUSETTS 02215 Executive Officer David Lee c/o Medically Home Group, Inc. 133 BROOKLINE AVE. BOSTON MA MASSACHUSETTS 02215 Director Vivek Garipalli c/o Medically Home Group, Inc. 133 BROOKLINE AVE BOSTON MA MASSACHUSETTS 02215 Director Joe Kessler c/o Medically Home Group, Inc. 133 BROOKLINE AVE BOSTON MA MASSACHUSETTS 02215 Executive Officer Other Health Care Decline to Disclose 06b false 2019-05-10 false true false 0 25000000 10006281 14993719 The amount sold includes outstanding principal and accrued and unpaid interest on outstanding debt which converted. false 18 0 0 0 false Medically Home Group, Inc. /s/ Richard Rakowski Richard Rakowski CEO 2019-05-23