0001729744-19-000001.txt : 20190612 0001729744-19-000001.hdr.sgml : 20190612 20190612122301 ACCESSION NUMBER: 0001729744-19-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20190612 DATE AS OF CHANGE: 20190612 EFFECTIVENESS DATE: 20190612 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Opioid Clinical Management, Inc. CENTRAL INDEX KEY: 0001729744 IRS NUMBER: 823048556 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-341712 FILM NUMBER: 19893208 BUSINESS ADDRESS: STREET 1: 5875 FLEUR DRIVE CITY: DES MOINES STATE: IA ZIP: 50321 BUSINESS PHONE: 515-283-4664 MAIL ADDRESS: STREET 1: 5875 FLEUR DRIVE CITY: DES MOINES STATE: IA ZIP: 50321 D 1 primary_doc.xml X0708 D LIVE 0001729744 Opioid Clinical Management, Inc. 6151 Thornton Avenue DES MOINES IA IOWA 50321 515-283-4664 DELAWARE None None Corporation true 2017 Michael Vasquez 6151 Thornton Avenue DES MOINES IA IOWA 50321 Executive Officer Director Other Health Care Decline to Disclose 06b false 2019-05-29 false true false 16500 203577 203577 0 false 5 0 0 0 false Opioid Clinical Management, Inc. Garth Adams Garth Adams Counsel 2019-06-12