0001716702-23-000003.txt : 20231221 0001716702-23-000003.hdr.sgml : 20231221 20231221105549 ACCESSION NUMBER: 0001716702-23-000003 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20231221 DATE AS OF CHANGE: 20231221 EFFECTIVENESS DATE: 20231221 FILER: COMPANY DATA: COMPANY CONFORMED NAME: PatientFi, Inc. CENTRAL INDEX KEY: 0001716702 ORGANIZATION NAME: IRS NUMBER: 822201392 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-500389 FILM NUMBER: 231503386 BUSINESS ADDRESS: STREET 1: 15635 ALTON PARKWAY STREET 2: SUITE 160 CITY: IRVINE STATE: CA ZIP: 92618 BUSINESS PHONE: (949) 441-5484 MAIL ADDRESS: STREET 1: 15635 ALTON PARKWAY STREET 2: SUITE 160 CITY: IRVINE STATE: CA ZIP: 92618 FORMER COMPANY: FORMER CONFORMED NAME: PatientFi, LLC DATE OF NAME CHANGE: 20180508 FORMER COMPANY: FORMER CONFORMED NAME: PatientFirst Finance, LLC DATE OF NAME CHANGE: 20170911 D 1 primary_doc.xml X0708 D LIVE 0001716702 PatientFi, Inc. 530 Technology Drive Suite 350 Irvine CA CALIFORNIA 92618 (949) 441-5484 DELAWARE PatientFi, LLC PatientFirst Finance, LLC Corporation true Todd Watts 530 Technology Drive Suite 350 Irvine CA CALIFORNIA 92618 Executive Officer Director Louis Bucky 530 Technology Drive Suite 350 Irvine CA CALIFORNIA 92618 Director Gerard Cuddy 530 Technology Drive Suite 350 Irvine CA CALIFORNIA 92618 Director Tom Cestare 530 Technology Drive Suite 350 Irvine CA CALIFORNIA 92618 Director H. Bradley Sloan 530 Technology Drive Suite 350 Irvine CA CALIFORNIA 92618 Director Derrick Hoag 530 Technology Drive Suite 350 Irvine CA CALIFORNIA 92618 Executive Officer Joe Ranieri 530 Technology Drive Suite 350 Irvine CA CALIFORNIA 92618 Executive Officer Jon Roberts 530 Technology Drive Suite 350 Irvine CA CALIFORNIA 92618 Executive Officer Other Technology Decline to Disclose 06b false 2023-12-07 false true true false 0 30001596 28651594 1350002 false 3 0 0 2574488 Amount set forth above was used to redeem certain shares of Common Stock immediately following the initial closing; additional proceeds will be used to compensate executive officers in the ordinary course of business. false PatientFi, Inc. /s/ Todd Watts Todd Watts Chief Executive Officer 2023-12-21