0001765584-19-000001.txt : 20190124 0001765584-19-000001.hdr.sgml : 20190124 20190124154752 ACCESSION NUMBER: 0001765584-19-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20190124 DATE AS OF CHANGE: 20190124 EFFECTIVENESS DATE: 20190124 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Ancillary Advantage, Inc. CENTRAL INDEX KEY: 0001765584 IRS NUMBER: 271642360 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-331311 FILM NUMBER: 19539988 BUSINESS ADDRESS: STREET 1: 1255 WEST 15TH STREET STREET 2: SUITE 540 CITY: PLANO STATE: TX ZIP: 75075 BUSINESS PHONE: (972)881-5352 MAIL ADDRESS: STREET 1: 1255 WEST 15TH STREET STREET 2: SUITE 540 CITY: PLANO STATE: TX ZIP: 75075 D 1 primary_doc.xml X0708 D LIVE 0001765584 Ancillary Advantage, Inc. 1255 WEST 15TH STREET SUITE 540 PLANO TX TEXAS 75075 (972) 881-5352 DELAWARE None None Corporation true Charles Bavier 1255 West 15th Street Suite 540 Plano TX TEXAS 75075 Executive Officer Director Michael Worthy 1255 West 15th Street Suite 540 Plano TX TEXAS 75075 Executive Officer Carlos A. Ferrer 1255 West 15th Street Suite 540 Plano TX TEXAS 75075 Director Theodore B. Lundberg 1255 West 15th Street Suite 540 Plano TX TEXAS 75075 Director Other Health Care Decline to Disclose 06b false 2019-01-11 false true false 0 1100000 1100000 0 false 1 0 0 0 false Ancillary Advantage, Inc. /s/ Charles Bavier Charles Bavier Chief Executive Officer 2019-01-24