0001931857-22-000001.txt : 20220606 0001931857-22-000001.hdr.sgml : 20220606 20220606101206 ACCESSION NUMBER: 0001931857-22-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20220606 DATE AS OF CHANGE: 20220606 EFFECTIVENESS DATE: 20220606 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Doctivity, Inc. CENTRAL INDEX KEY: 0001931857 IRS NUMBER: 881539312 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-448161 FILM NUMBER: 22996970 BUSINESS ADDRESS: STREET 1: 2209 SHASTA DRIVE CITY: BLOOMSBURG STATE: PA ZIP: 17815 BUSINESS PHONE: 484-432-3313 MAIL ADDRESS: STREET 1: 2209 SHASTA DRIVE CITY: BLOOMSBURG STATE: PA ZIP: 17815 D 1 primary_doc.xml X0708 D LIVE 0001931857 Doctivity, Inc. 2209 SHASTA DRIVE BLOOMSBURG PA PENNSYLVANIA 17815 484-432-3313 DELAWARE None None Corporation true 2022 CATHRYN A. CONNOLLEY 2209 SHASTA DRIVE BLOOMSBURG PA PENNSYLVANIA 17815 Executive Officer B. BOBBY BAHRAM 2209 SHASTA DRIVE BLOOMSBURG PA PENNSYLVANIA 17815 Director LANDON GIBBS 2209 SHASTA DRIVE BLOOMSBURG PA PENNSYLVANIA 17815 Director MICHAEL LOSCALZO 2209 SHASTA DRIVE BLOOMSBURG PA PENNSYLVANIA 17815 Director DRAKE JARMAN 2209 SHASTA DRIVE BLOOMSBURG PA PENNSYLVANIA 17815 Director Other Technology Decline to Disclose 06b false 2022-04-14 false true false 0 1250000 1250000 0 false 3 0 0 0 false Doctivity, Inc. /s/ Cathryn A. Connolley Cathryn A. Connolley President 2022-06-03