0001849360-21-000001.txt : 20210715 0001849360-21-000001.hdr.sgml : 20210715 20210714212838 ACCESSION NUMBER: 0001849360-21-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20210715 DATE AS OF CHANGE: 20210714 EFFECTIVENESS DATE: 20210715 FILER: COMPANY DATA: COMPANY CONFORMED NAME: CLINICOM HEALTHCARE INC CENTRAL INDEX KEY: 0001849360 IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-406338 FILM NUMBER: 211091523 BUSINESS ADDRESS: STREET 1: 408 HEALTHWEST DRIVE CITY: DOTHAN STATE: AL ZIP: 36303 BUSINESS PHONE: 334-718-8613 MAIL ADDRESS: STREET 1: 408 HEALTHWEST DRIVE CITY: DOTHAN STATE: AL ZIP: 36303 D 1 primary_doc.xml X0708 D LIVE 0001849360 CLINICOM HEALTHCARE INC 408 HEALTHWEST DRIVE DOTHAN AL ALABAMA 36303 334-718-8613 DELAWARE None None Corporation true 2021 IGNACIO HANDAL 408 Healthwest Drive Dothan DOTHAN AL ALABAMA 36303 Executive Officer Director CHIEF EXECUTIVE OFFICER NELSON HANDAL 408 Healthwest Drive Dothan Dothan AL ALABAMA 36303 Director DAVID SAULNIER 408 Healthwest Drive Dothan Dothan AL ALABAMA 36303 Executive Officer CHIEF FINANCIAL OFFICER JAMES RIDDLE 408 Healthwest Drive Dothan AL ALABAMA 36303 Director LES JORDAN 408 Healthwest Drive Dothan AL ALABAMA 36303 Executive Officer CHIEF TECHNICAL OFFICER Other Health Care Decline to Disclose 06b false 2020-12-17 false true false 25000 255000 255000 0 false 5 0 0 25000 false CLINICOM HEALTHCARE INC /S/ IGNACIO HANDAL IGNACIO HANDAL CHIEF EXECUTIVE OFFICER 2021-07-07