0001717655-17-000001.txt : 20170921 0001717655-17-000001.hdr.sgml : 20170921 20170921163800 ACCESSION NUMBER: 0001717655-17-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20170921 DATE AS OF CHANGE: 20170921 EFFECTIVENESS DATE: 20170921 FILER: COMPANY DATA: COMPANY CONFORMED NAME: PatientWisdom, Inc. CENTRAL INDEX KEY: 0001717655 IRS NUMBER: 474246275 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-295170 FILM NUMBER: 171096104 BUSINESS ADDRESS: STREET 1: 770 CHAPEL STREET CITY: NEW HAVEN STATE: CT ZIP: 06510 BUSINESS PHONE: 4752386637 MAIL ADDRESS: STREET 1: 770 CHAPEL STREET CITY: NEW HAVEN STATE: CT ZIP: 06510 D 1 primary_doc.xml X0708 D LIVE 0001717655 PatientWisdom, Inc. 770 CHAPEL STREET NEW HAVEN CT CONNECTICUT 06510 4752386637 DELAWARE None None Corporation true 2017 Gregory Makoul 770 Chapel Street New Haven CT CONNECTICUT 06510 Executive Officer Director Eric Langshur 111 East Wacker Drive, Suite 300 Chicago IL ILLINOIS 60601 Director Henry Schaffer 770 Chapel Street New Haven CT CONNECTICUT 06510 Executive Officer Matthew Storeygard 865 Brook Street Rocky Hill CT CONNECTICUT 06067 Director Other Technology $1 - $1,000,000 06b false 2017-07-28 false true false 1 4856654 3354131 1502523 false 12 0 0 0 false PatientWisdom, Inc. Gregory Makoul Gregory Makoul Chief Executive Officer 2017-09-21