0001782304-19-000002.txt : 20190719 0001782304-19-000002.hdr.sgml : 20190719 20190719131605 ACCESSION NUMBER: 0001782304-19-000002 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20190719 DATE AS OF CHANGE: 20190719 EFFECTIVENESS DATE: 20190719 FILER: COMPANY DATA: COMPANY CONFORMED NAME: 4C Health Solutions, Inc. CENTRAL INDEX KEY: 0001782304 IRS NUMBER: 463776816 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-344686 FILM NUMBER: 19962930 BUSINESS ADDRESS: STREET 1: 1201 SYCAMORE SQUARE DRIVE STREET 2: SUITE 623 CITY: MIDLOTHIAN STATE: VA ZIP: 23112 BUSINESS PHONE: 8046012628 MAIL ADDRESS: STREET 1: 1201 SYCAMORE SQUARE DRIVE STREET 2: SUITE 623 CITY: MIDLOTHIAN STATE: VA ZIP: 23112 D 1 primary_doc.xml X0708 D LIVE 0001782304 4C Health Solutions, Inc. 1201 SYCAMORE SQUARE DRIVE SUITE 623 MIDLOTHIAN VA VIRGINIA 23113 8046012628 DELAWARE None None Corporation true Ron Templeton 1201 Sycamore Square Drive Suite 623 Midlothian VA VIRGINIA 23113 Executive Officer Chief Executive Officer of the issuer. Clayton Lazenby 1201 Sycamore Square Drive Suite 623 Midlothian VA VIRGINIA 23113 Executive Officer Chief Financial Officer of the issuer. Tommy G. Thompson 1201 Sycamore Square Drive Suite 623 Midlothian VA VIRGINIA 23113 Director Chairman of the board of directors of the issuer. Horace Clark 1201 Sycamore Square Drive Suite 623 Midlothian VA VIRGINIA 23113 Director A director of the issuer. Ken Lockard 1201 Sycamore Square Drive Suite 623 Midlothian VA VIRGINIA 23113 Director A director of the issuer. David J. Adams 1201 Sycamore Square Drive Suite 623 Midlothian VA VIRGINIA 23113 Director A director of the issuer. Other Technology Decline to Disclose 06b false 2019-07-05 false true false 0 4000000 1150000 2850000 false 6 0 true 0 true Issuer direct sales. 1000000 true false 4C Health Solutions, Inc. Ron Templeton Ron Templeton Chief Executive Officer of the Issuer 2019-07-19