0001767413-21-000010.txt : 20210517 0001767413-21-000010.hdr.sgml : 20210517 20210517094949 ACCESSION NUMBER: 0001767413-21-000010 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06c FILED AS OF DATE: 20210517 DATE AS OF CHANGE: 20210517 EFFECTIVENESS DATE: 20210517 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Real Patient Solutions, Inc. CENTRAL INDEX KEY: 0001862403 IRS NUMBER: 842708181 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-399583 FILM NUMBER: 21928153 BUSINESS ADDRESS: STREET 1: 2820 VIA VERDE CITY: SPRINGFIELD STATE: IL ZIP: 62703 BUSINESS PHONE: 8775441011 MAIL ADDRESS: STREET 1: 2820 VIA VERDE CITY: SPRINGFIELD STATE: IL ZIP: 62703 D 1 primary_doc.xml X0708 D LIVE 0001862403 Real Patient Solutions, Inc. 2820 VIA VERDE SPRINGFIELD IL ILLINOIS 62703 8775441011 DELAWARE None None Corporation true 2019 Scott Miller 2820 Via Verde Springfield IL ILLINOIS 62703 Director Matthew Hamann 2820 Via Verde Springfield IL ILLINOIS 62703 Executive Officer Director Jordan Walgreen 2820 Via Verde Springfield IL ILLINOIS 62703 Executive Officer Director Farhan Chaudry 2820 Via Verde Springfield IL ILLINOIS 62703 Executive Officer Director Kenneth Allen 2820 Via Verde Springfield IL ILLINOIS 62703 Director Other Technology Decline to Disclose 06c false 2021-04-30 false true true false 50000 1690044 640044 1050000 Offering and Sales Amounts include Convertible Notes. false 3 0 0 0 false Real Patient Solutions, Inc. /s/ Jordan Walgreen Jordan Walgreen President 2021-05-14