0001828915-23-000003.txt : 20230123 0001828915-23-000003.hdr.sgml : 20230123 20230123163107 ACCESSION NUMBER: 0001828915-23-000003 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20230123 DATE AS OF CHANGE: 20230123 EFFECTIVENESS DATE: 20230123 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Paytient Technologies, Inc. CENTRAL INDEX KEY: 0001828915 IRS NUMBER: 825100129 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-471533 FILM NUMBER: 23544842 BUSINESS ADDRESS: STREET 1: 1601 S. PROVIDENCE RD. CITY: COLUMBIA STATE: MO ZIP: 65211 BUSINESS PHONE: 573-206-9147 MAIL ADDRESS: STREET 1: 1601 S. PROVIDENCE RD. CITY: COLUMBIA STATE: MO ZIP: 65211 D 1 primary_doc.xml X0708 D LIVE 0001828915 Paytient Technologies, Inc. 3601 Endeavor Ave. COLUMBIA MO MISSOURI 65201 573-206-9147 DELAWARE None None Corporation true 2018 Brian Whorley c/o Paytient Technologies, Inc. 3601 Endeavor Ave. Columbia MO MISSOURI 65201 Executive Officer Director Daniel Lynn c/o Paytient Technologies, Inc. 3601 Endeavor Ave. Columbia MO MISSOURI 65201 Director Charlotte Ross c/o Paytient Technologies, Inc. 3601 Endeavor Ave. Columbia MO MISSOURI 65201 Director Darius Chehrzad c/o Paytient Technologies, Inc. 3601 Endeavor Ave. Columbia MO MISSOURI 65201 Director Joe Kaiser c/o Paytient Technologies, Inc. 3601 Endeavor Ave. Columbia MO MISSOURI 65201 Director Jodi Hubler c/o Paytient Technologies, Inc. 3601 Endeavor Ave. Columbia MO MISSOURI 65201 Director Other Decline to Disclose 06b false 2022-11-10 false true false 0 35499988 32849990 2649998 false 7 0 0 0 false Paytient Technologies, Inc. /s/ Brian Whorley Brian Whorley Chief Executive Officer 2023-01-23