0001716854-21-000002.txt : 20210303 0001716854-21-000002.hdr.sgml : 20210303 20210303121521 ACCESSION NUMBER: 0001716854-21-000002 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20210303 DATE AS OF CHANGE: 20210303 EFFECTIVENESS DATE: 20210303 FILER: COMPANY DATA: COMPANY CONFORMED NAME: DispatchHealth Holdings, Inc. CENTRAL INDEX KEY: 0001716854 IRS NUMBER: 821056564 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-391097 FILM NUMBER: 21707860 BUSINESS ADDRESS: STREET 1: 3827 NORTH LAFAYETTE STREET CITY: DENVER STATE: CO ZIP: 80205 BUSINESS PHONE: 303-500-1518 MAIL ADDRESS: STREET 1: 3827 NORTH LAFAYETTE STREET CITY: DENVER STATE: CO ZIP: 80205 D 1 primary_doc.xml X0708 D LIVE 0001716854 DispatchHealth Holdings, Inc. 3827 NORTH LAFAYETTE STREET DENVER CO COLORADO 80205 303-500-1518 DELAWARE None None Corporation true 2017 MARK PRATHER c/o DISPATCHHEALTH 3827 NORTH LAFAYETTE STREET DENVER CO COLORADO 80205 Executive Officer Director PETER HUDSON c/o DISPATCHHEALTH 3827 NORTH LAFAYETTE STREET DENVER CO COLORADO 80205 Director DOMINIC BAGNOLI c/o DISPATCHHEALTH 3827 NORTH LAFAYETTE STREET DENVER CO COLORADO 80205 Director RYAN DRANT c/o DISPATCHHEALTH 3827 NORTH LAFAYETTE STREET DENVER CO COLORADO 80205 Director FRANK RONCHETTI c/o DISPATCHHEALTH 3827 NORTH LAFAYETTE STREET DENVER CO COLORADO 80205 Executive Officer DUSTY LIEB c/o DISPATCHHEALTH 3827 NORTH LAFAYETTE STREET DENVER CO COLORADO 80205 Director SCOTT THEISEN c/o DISPATCHHEALTH 3827 NORTH LAFAYETTE STREET DENVER CO COLORADO 80205 Director SUSAN DIAMOND c/o DISPATCHHEALTH 3827 NORTH LAFAYETTE STREET DENVER CO COLORADO 80205 Director ANDREW ADAMS c/o DISPATCHHEALTH 3827 NORTH LAFAYETTE STREET DENVER CO COLORADO 80205 Director SHANNON WERB c/o DISPATCHHEALTH 3827 NORTH LAFAYETTE STREET DENVER CO COLORADO 80205 Executive Officer Other Health Care Decline to Disclose 06b false 2021-02-17 false true false 0 200000000 134999366 65000634 false 5 0 0 0 false DispatchHealth Holdings, Inc. /s/ Mark Prather MD Mark Prather MD President 2021-03-03