0001639542-20-000002.txt : 20200413 0001639542-20-000002.hdr.sgml : 20200413 20200410205910 ACCESSION NUMBER: 0001639542-20-000002 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20200413 DATE AS OF CHANGE: 20200410 EFFECTIVENESS DATE: 20200413 FILER: COMPANY DATA: COMPANY CONFORMED NAME: CrossChx, Inc. CENTRAL INDEX KEY: 0001639542 IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-364788 FILM NUMBER: 20787702 BUSINESS ADDRESS: STREET 1: 99 EAST MAIN STREET CITY: COLUMBUS STATE: OH ZIP: 43215 BUSINESS PHONE: (800) 501-3161 MAIL ADDRESS: STREET 1: 99 EAST MAIN STREET CITY: COLUMBUS STATE: OH ZIP: 43215 D 1 primary_doc.xml X0708 D LIVE 0001639542 CrossChx, Inc. 99 EAST MAIN STREET COLUMBUS OH OHIO 43215 (800) 501-3161 DELAWARE None None Corporation true Sean Lane 99 East Main Street Columbus OH OHIO 43215 Executive Officer Director Billy Deitch 99 East Main Street Columbus OH OHIO 43215 Director John Kuelper 99 East Main Street Columbus OH OHIO 43215 Director Christopher Olsen 99 East Main Street Columbus OH OHIO 43215 Director Brock Wanless 99 East Main Street Columbus OH OHIO 43215 Executive Officer David Agus 99 East Main Street C OH OHIO 43215 Director George S. Barrett 99 East Main Street Columbus OH OHIO 43215 Director Ronald A. Paulus 99 East Main Street Columbus OH OHIO 43215 Director Appointed on March 30, 2020. Other Technology Decline to Disclose 06b false 2020-03-30 false true false 0 77022171 52022171 25000000 $36,299,998.97 in new capital paid for equity securities and $15,722,171.74 corresponds to the conversion of existing indebtedness. false 13 0 0 0 false CrossChx, Inc. /s/Brock Wanless Brock Wanless Secretary and General Counsel 2020-04-10