0001932744-22-000001.txt : 20220617 0001932744-22-000001.hdr.sgml : 20220617 20220616205729 ACCESSION NUMBER: 0001932744-22-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20220617 DATE AS OF CHANGE: 20220616 EFFECTIVENESS DATE: 20220617 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Medplace, Inc. CENTRAL INDEX KEY: 0001932744 IRS NUMBER: 851909317 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-449516 FILM NUMBER: 221022214 BUSINESS ADDRESS: STREET 1: 7701 FRANCE AVENUE S STREET 2: SUITE 500 CITY: EDINA STATE: MN ZIP: 55435 BUSINESS PHONE: 480-388-6044 MAIL ADDRESS: STREET 1: 7701 FRANCE AVENUE S STREET 2: SUITE 500 CITY: EDINA STATE: MN ZIP: 55435 D 1 primary_doc.xml X0708 D LIVE 0001932744 Medplace, Inc. 7701 FRANCE AVENUE S SUITE 500 EDINA MN MINNESOTA 55435 480-388-6044 DELAWARE None None Corporation true 2020 Jerrod Bailey 7701 France Avenue S Suite 500 Edina MN MINNESOTA 55435 Executive Officer Director Angela Griffith 7701 France Avenue S Suite 500 Edina MN MINNESOTA 55435 Executive Officer Director Andrew Holm 7701 France Avenue S Suite 500 Edina MN MINNESOTA 55435 Director Other Decline to Disclose 06b false 2022-04-01 false true true Simple Agreement for Future Equity false 0 3000000 500000 2500000 false 1 0 0 0 false Medplace, Inc. /s/ Jerrod Bailey Jerrod Bailey CEO 2022-06-16