0001715363-18-000001.txt : 20180131 0001715363-18-000001.hdr.sgml : 20180131 20180131162857 ACCESSION NUMBER: 0001715363-18-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20180131 DATE AS OF CHANGE: 20180131 EFFECTIVENESS DATE: 20180131 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Carolina Complete Health Network, Inc. CENTRAL INDEX KEY: 0001715363 STANDARD INDUSTRIAL CLASSIFICATION: HOSPITAL & MEDICAL SERVICE PLANS [6324] IRS NUMBER: 814966207 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-304537 FILM NUMBER: 18563096 BUSINESS ADDRESS: STREET 1: 222 N. PERSON STREET, SUITE 010 CITY: RALEIGH STATE: NC ZIP: 27601 BUSINESS PHONE: 919-719-4161 MAIL ADDRESS: STREET 1: 222 N. PERSON STREET, SUITE 010 CITY: RALEIGH STATE: NC ZIP: 27601 D 1 primary_doc.xml X0708 D LIVE 0001715363 Carolina Complete Health Network, Inc. 222 N. PERSON STREET, SUITE 010 RALEIGH NC NORTH CAROLINA 27601 919-719-4161 DELAWARE Formation Subsidiary, Inc. None Corporation true 2016 JEFFREY W. RUNGE 222 N. PERSON STREET, SUITE 010 RALEIGH NC NORTH CAROLINA 27601 Executive Officer Director JOHN R. MANGUM 222 N. PERSON STREET, SUITE 010 RALEIGH NC NORTH CAROLINA 27601 Director JOHN JACOB MEIER IV 222 N. PERSON STREET, SUITE 010 RALEIGH NC NORTH CAROLINA 27601 Director RICHARD HUDSPETH 222 N. PERSON STREET, SUITE 010 RALEIGH NC NORTH CAROLINA 27601 Director VINCENT T. MORGUS 222 N. PERSON STREET, SUITE 010 RALEIGH NC NORTH CAROLINA 27601 Executive Officer STEPHEN W. KEENE 222 N. PERSON STREET, SUITE 010 RALEIGH NC NORTH CAROLINA 27601 Executive Officer Other Health Care Decline to Disclose 06b false 2018-01-19 false true false 750 1500000 1128750 371250 The Offering has closed. true 11 28 0 0 0 false Carolina Complete Health Network, Inc. /s/ Vincent T. Morgus Vincent T. Morgus Chief Operating Officer 2018-01-31