0001722987-21-000003.txt : 20210907 0001722987-21-000003.hdr.sgml : 20210907 20210907131622 ACCESSION NUMBER: 0001722987-21-000003 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20210907 DATE AS OF CHANGE: 20210907 EFFECTIVENESS DATE: 20210907 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Chronic Care Management, Inc. CENTRAL INDEX KEY: 0001722987 IRS NUMBER: 823283998 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-412518 FILM NUMBER: 211238915 BUSINESS ADDRESS: STREET 1: 282 CHESTER AVENUE CITY: MOORESTOWN STATE: NJ ZIP: 08057 BUSINESS PHONE: 844-226-6500 MAIL ADDRESS: STREET 1: 282 CHESTER AVENUE CITY: MOORESTOWN STATE: NJ ZIP: 08057 D 1 primary_doc.xml X0708 D LIVE 0001722987 Chronic Care Management, Inc. 282 CHESTER AVENUE MOORESTOWN NJ NEW JERSEY 08057 844-226-6500 DELAWARE None None Corporation true 2017 Mark Douglas 282 Chester Avenue Moorestown NJ NEW JERSEY 08057 Executive Officer Russell Hirsch 282 Chester Avenue Moorestown NJ NEW JERSEY 08057 Director John Hopper 282 Chester Avenue Moorestown NJ NEW JERSEY 08057 Director Robert Sowislo 282 Chester Avenue Moorestown NJ NEW JERSEY 08057 Director Dale M. Wollschleger 282 Chester Avenue Moorestown NJ NEW JERSEY 08057 Director Mitchell Daitz 282 Chester Avenue Moorestown NJ NEW JERSEY 08057 Director David Hunt 282 Chester Avenue Moorestown NJ NEW JERSEY 08057 Executive Officer Director Alex Washburn 282 Chester Avenue Moorestown NJ NEW JERSEY 08057 Director Other Health Care Decline to Disclose 06b false 2021-08-27 false true true false 50000 1500000 585000 915000 false 3 0 0 0 false Chronic Care Management, Inc. Mark Douglas Mark Douglas Chief Financial Officer 2021-09-07