0001213900-19-024146.txt : 20191119
0001213900-19-024146.hdr.sgml : 20191119
20191119195631
ACCESSION NUMBER: 0001213900-19-024146
CONFORMED SUBMISSION TYPE: 3
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20191119
FILED AS OF DATE: 20191119
DATE AS OF CHANGE: 20191119
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: DOLAN PETER R
CENTRAL INDEX KEY: 0001199293
FILING VALUES:
FORM TYPE: 3
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-39138
FILM NUMBER: 191232757
MAIL ADDRESS:
STREET 1: C/O BRISTOL MYERS SQUIBB CO
STREET 2: 345 PARK AVE
CITY: NEW YORK
STATE: NY
ZIP: 10164
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: Amplitude Healthcare Acquisition Corp
CENTRAL INDEX KEY: 0001788028
STANDARD INDUSTRIAL CLASSIFICATION: BLANK CHECKS [6770]
IRS NUMBER: 842984849
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 1177 AVENUE OF THE AMERICAS FL 40
CITY: NEW YORK
STATE: NY
ZIP: 10036
BUSINESS PHONE: 212- 823-1900
MAIL ADDRESS:
STREET 1: 1177 AVENUE OF THE AMERICAS FL 40
CITY: NEW YORK
STATE: NY
ZIP: 10036
3
1
ownership.xml
X0206
3
2019-11-19
1
0001788028
Amplitude Healthcare Acquisition Corp
AMHCU
0001199293
DOLAN PETER R
1177 AVENUE OF THE AMERICAS, 40TH FLOOR
NEW YORK
NY
10036
1
0
0
0
The reporting person has an indirect pecuniary interest in shares of Class B common stock of the Issuer through his membership interest in Amplitude Healthcare Holdings LLC, over which the reporting person does not have voting or dispositive control.
/s/ Peter Dolan
2019-11-19