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