0001651497-15-000002.txt : 20150901 0001651497-15-000002.hdr.sgml : 20150901 20150901171614 ACCESSION NUMBER: 0001651497-15-000002 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20150901 DATE AS OF CHANGE: 20150901 EFFECTIVENESS DATE: 20150901 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Credible Behavioral Health, Inc. CENTRAL INDEX KEY: 0001651497 IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-246821 FILM NUMBER: 151087997 BUSINESS ADDRESS: STREET 1: 7529 STANDISH PLACE, 2ND FLOOR, STE. 270 CITY: ROCKVILLE STATE: MD ZIP: 20855 BUSINESS PHONE: 301-652-9500 MAIL ADDRESS: STREET 1: 7529 STANDISH PLACE, 2ND FLOOR, STE. 270 CITY: ROCKVILLE STATE: MD ZIP: 20855 D 1 primary_doc.xml X0707 D LIVE 0001651497 Credible Behavioral Health, Inc. 7529 STANDISH PLACE, 2ND FLOOR, STE. 270 ROCKVILLE MD MARYLAND 20855 301-652-9500 DELAWARE None None Corporation true Matthew M Dorman c/o Credible Behavioral Health, Inc. 7529 Standish Place, 2nd Floor, Ste. 270 Rockville MD MARYLAND 20855 Executive Officer Director Jason Kreuziger c/o Credible Behavioral Health, Inc. 7529 Standish Place, 2nd Floor, Ste. 270 Rockville MD MARYLAND 20855 Director Other Technology Decline to Disclose 06b false 2015-06-01 false true true Offer and sale of shares of preferred stock and the underlying shares of common stock issuable upon conversion thereof. false 0 30000000 30000000 0 false 5 0 0 3333331 true false Credible Behavioral Health, Inc. /s/ Matthew M. Dorman Matthew M. Dorman President and CEO 2015-09-01