0001954253-22-000001.txt : 20221209 0001954253-22-000001.hdr.sgml : 20221209 20221209114036 ACCESSION NUMBER: 0001954253-22-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20221209 DATE AS OF CHANGE: 20221209 EFFECTIVENESS DATE: 20221209 FILER: COMPANY DATA: COMPANY CONFORMED NAME: ClaimInformatics, Inc. CENTRAL INDEX KEY: 0001954253 IRS NUMBER: 884279523 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-467029 FILM NUMBER: 221454083 BUSINESS ADDRESS: STREET 1: 811 BLUE HILLS AVE. CITY: BLOOMFIELD STATE: CT ZIP: 06002 BUSINESS PHONE: 860.761.9581 MAIL ADDRESS: STREET 1: 811 BLUE HILLS AVE. CITY: BLOOMFIELD STATE: CT ZIP: 06002 D 1 primary_doc.xml X0708 D LIVE 0001954253 ClaimInformatics, Inc. 811 BLUE HILLS AVE. BLOOMFIELD CT CONNECTICUT 06002 860.761.9581 DELAWARE None None Corporation true 2022 Stephen Carrabba 811 BLUE HILLS AVE. Bloomfield CT CONNECTICUT 06002 Executive Officer Director Timothy Zahrobsky 811 BLUE HILLS AVE. Bloomfield CT CONNECTICUT 06002 Director Mark Shary 811 BLUE HILLS AVE. Bloomfield CT CONNECTICUT 06002 Director Other Decline to Disclose 06b false 2022-12-01 false true false 0 3000000 2250000 750000 false 2 0 0 0 false ClaimInformatics, Inc. /s/ Stephen Carrabba Stephen Carrabba President 2022-12-08