0001957215-22-000001.txt : 20221207 0001957215-22-000001.hdr.sgml : 20221207 20221206182648 ACCESSION NUMBER: 0001957215-22-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20221207 DATE AS OF CHANGE: 20221206 EFFECTIVENESS DATE: 20221207 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Percipio Health, Inc. CENTRAL INDEX KEY: 0001957215 IRS NUMBER: 612042944 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-466728 FILM NUMBER: 221448766 BUSINESS ADDRESS: STREET 1: 5904 LINDFIELD CT. CITY: PLANO STATE: TX ZIP: 75093 BUSINESS PHONE: 9724001360 MAIL ADDRESS: STREET 1: 5904 LINDFIELD CT. CITY: PLANO STATE: TX ZIP: 75093 D 1 primary_doc.xml X0708 D LIVE 0001957215 Percipio Health, Inc. 5904 LINDFIELD CT. PLANO TX TEXAS 75093 9724001360 DELAWARE None None Corporation true 2022 Eric Rock 5904 Lindfield Ct Plano TX TEXAS 75093 Executive Officer Director David Lucas 26 Crimson Lane Lititz PA PENNSYLVANIA 17543 Executive Officer Director Jonathan Phillips 120 East Liberty Drive, Suite 400 Wheaton IL ILLINOIS 60187 Director Other Health Care Decline to Disclose 06b false 2022-11-22 false true false 0 1250000 250000 1000000 false 1 0 0 0 false Percipio Health, Inc. Eric Rock Eric Rock Chief Executive Officer 2022-12-05