0001746369-22-000002.txt : 20220525 0001746369-22-000002.hdr.sgml : 20220525 20220525140910 ACCESSION NUMBER: 0001746369-22-000002 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20220525 DATE AS OF CHANGE: 20220525 EFFECTIVENESS DATE: 20220525 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: 021-446971 FILM NUMBER: 22961808 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. 3090 Bristol Street Suite 200 Costa Mesa CA CALIFORNIA 92626 949-333-0919 DELAWARE None None Corporation true 2018 Kim Phan 3090 Bristol Street Suite 200 Costa Mesa CA CALIFORNIA 92626 Executive Officer Director David Steffy 3090 Bristol Street Suite 200 Costa Mesa CA CALIFORNIA 92626 Director Barbara Lubash 3090 Bristol Street Suite 200 Costa Mesa CA CALIFORNIA 92626 Director Dennis Drislane 3090 Bristol Street Suite 200 Costa Mesa CA CALIFORNIA 92626 Director Mark Wan 3090 Bristol Street Suite 200 Costa Mesa CA CALIFORNIA 92626 Director Hospitals and Physicians Decline to Disclose 06b false 2022-05-12 false true true false 0 B.C. Ziegler and Company 61 None None One North Wacker Drive Suite 2000 Chicago IL ILLINOIS 60606 AL ALABAMA CA CALIFORNIA CT CONNECTICUT DC DISTRICT OF COLUMBIA FL FLORIDA GA GEORGIA IL ILLINOIS MD MARYLAND MA MASSACHUSETTS MI MICHIGAN MN MINNESOTA NY NEW YORK PA PENNSYLVANIA TN TENNESSEE VA VIRGINIA false 27000000 10000000 17000000 false 2 1350000 0 0 true false CareConnectMD, Inc. Karl Schmitz Karl Schmitz, Esq. Attorney 2022-05-25