0001957215-24-000001.txt : 20240523 0001957215-24-000001.hdr.sgml : 20240523 20240522191824 ACCESSION NUMBER: 0001957215-24-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20240523 DATE AS OF CHANGE: 20240522 EFFECTIVENESS DATE: 20240523 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Percipio Health, Inc. CENTRAL INDEX KEY: 0001957215 ORGANIZATION NAME: IRS NUMBER: 612042944 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-514039 FILM NUMBER: 24974876 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 Cameron Powell 605 Austin Avenue Waco TX TEXAS 76701 Director Shay Braun 5151 Belt Line Rd., Suite 455 Dallas TX TEXAS 75254 Director Matthew Grant 6425 Penn Avenue, Suite 200 Pittsburgh PA PENNSYLVANIA 15206 Director Other Health Care Decline to Disclose 06b false 2024-05-13 false true false 0 16574984 11549912 5025072 false 9 0 0 0 false Percipio Health, Inc. Eric Rock Eric Rock Chief Executive Officer 2024-05-22