0001787737-19-000003.txt : 20190919 0001787737-19-000003.hdr.sgml : 20190919 20190919155606 ACCESSION NUMBER: 0001787737-19-000003 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20190919 DATE AS OF CHANGE: 20190919 EFFECTIVENESS DATE: 20190919 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Intercept Telemed, Inc. CENTRAL INDEX KEY: 0001787737 IRS NUMBER: 842257871 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-349249 FILM NUMBER: 191101755 BUSINESS ADDRESS: STREET 1: 4230 PALMETTO TRAIL CITY: WESTON STATE: FL ZIP: 33331 BUSINESS PHONE: 5612520945 MAIL ADDRESS: STREET 1: 4230 PALMETTO TRAIL CITY: WESTON STATE: FL ZIP: 33331 D 1 primary_doc.xml X0708 D LIVE 0001787737 Intercept Telemed, Inc. 2200 North Commerce Parkway #200 WESTON FL FLORIDA 33426 5612520945 DELAWARE None None Corporation true 2019 Diego Reino 2200 North Commerce Parkway #200 WESTON FL FLORIDA 33426 Executive Officer Director Promoter David Mednick 2200 North Commerce Parkway #200 WESTON FL FLORIDA 33426 Executive Officer Director Promoter Other Health Care Decline to Disclose 06b false 2019-07-23 false true false 50000 1000000 185000 815000 false 4 0 0 0 true false Intercept Telemed, Inc. David Mednick David Mednick CFO 2019-09-19