0001746369-19-000001.txt : 20190503 0001746369-19-000001.hdr.sgml : 20190503 20190503114412 ACCESSION NUMBER: 0001746369-19-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20190503 DATE AS OF CHANGE: 20190503 EFFECTIVENESS DATE: 20190503 FILER: COMPANY DATA: COMPANY CONFORMED NAME: CareConnectMD, Inc. CENTRAL INDEX KEY: 0001746369 IRS NUMBER: 475297338 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-338761 FILM NUMBER: 19794869 BUSINESS ADDRESS: STREET 1: 16162 BEACH BLVD. STREET 2: SUITE 100 CITY: HUNTINGTON BEACH STATE: CA ZIP: 92647 BUSINESS PHONE: 949-333-0919 MAIL ADDRESS: STREET 1: 16162 BEACH BLVD. STREET 2: SUITE 100 CITY: HUNTINGTON BEACH STATE: CA ZIP: 92647 D 1 primary_doc.xml X0708 D LIVE 0001746369 CareConnectMD, Inc. 16162 BEACH BLVD. SUITE 100 HUNTINGTON BEACH CA CALIFORNIA 92647 949-333-0919 DELAWARE None None Corporation true 2017 Kim Phan 16162 Beach Blvd. Suite 100 Huntington Beach CA CALIFORNIA 92647 Executive Officer Director David Steffy 16162 Beach Blvd. Suite 100 Huntington Beach CA CALIFORNIA 92647 Director George Fields 16162 Beach Blvd. Suite 100 Huntington Beach CA CALIFORNIA 92647 Director Mark Wan 16162 Beach Blvd. Suite 100 Huntington Beach CA CALIFORNIA 92647 Director Hospitals and Physicians Decline to Disclose 06b false true false true false 25000 5000000 0 5000000 false 0 0 0 0 true false CareConnectMD, Inc. Josef Cowan Josef Cowan Attorney 2019-05-03