UNITED STATES 

SECURITIES AND EXCHANGE COMMISSION

Washington, D.C. 20549

 


 

FORM 12b-25

   

SEC FILE NUMBER

   

000-50009

 

NOTIFICATION OF LATE FILING

 
   

CUSIP NUMBER

   

69439P407

 

(Check One): ☐ Form 10-K ☐ Form 20-F ☐ Form 11-K ☒ Form 10-Q ☐ Form 10-D ☐ Form N-SAR ☐ Form N-CSR

 

For Period Ended:          June 30, 2022                  

 

☐ Transition Report on Form 10-K

☐ Transition Report on Form 20-F

☐ Transition Report on Form 11-K

☐ Transition Report on Form 10-Q

☐ Transition Report on Form N-SAR

 

For the Transition Period Ended:                                

 

Read Instruction (on back page) Before Preparing Form. Please Print or Type.

Nothing in this form shall be construed to imply that the Commission has verified any information contained herein.

 

If the notification relates to a portion of the filing checked above, identify the Item(s) to which the notification relates:

 

 

PART I -- REGISTRANT INFORMATION

 

Pacific Health Care Organization, Inc.

Full Name of Registrant

 

n/a

Former Name if Applicable

 

19800 MacArthur Boulevard, Suites 306 & 307

Address of Principal Executive Office (Street and Number)

 

Irvine, California 92612

City, State and Zip Code

 

 

 

 

PART II -- RULES 12b-25(b) AND (c)

 

If the subject report could not be filed without unreasonable effort or expense and the registrant seeks relief pursuant to Rule 12b-25(b), the following should be completed. (Check box if appropriate)

 

 

(a)  The reason described in reasonable detail in Part III of this form could not be eliminated without unreasonable effort or expense;

x

(b)  The subject annual report, semi-annual report, transition report on Form 10-K, Form 20-F, 11-K, Form N-CEN, or Form N-CSR, or portion thereof, will be filed on or before the fifteenth calendar day following the prescribed due date; or the subject quarterly report or transition report on Form 10-Q or subject distribution report on Form 10-D, or portion thereof, will be filed on or before the fifth calendar day following the prescribed due date; and

 

(c)  The accountant’s statement or other exhibit required by Rule 12b-25(c) has been attached if applicable.

 

PART III -- NARRATIVE

 

State below in reasonable detail the reasons why Forms 10-K, 20-F, 11-K, 10-Q, 10-D, N-SAR, N-CSR, or the transition report or portion thereof, could not be filed within the prescribed time period.

 

The Registrant is unable to file this quarterly report on Form 10-Q (the quarterly report) within the prescribed time period without unreasonable effort or expense because the Registrant requires additional time to complete financial and other information to be included in the quarterly report. The quarterly report will be filed as soon as practicable and within five calendar days of the date the original report was due.

 

PART IV -- OTHER INFORMATION

 

(1)         Name and telephone number of person to contact in regard to this notification

 

  Kristina Kubota   (949)   721-8272
  (Name)   (Area Code)   (Telephone Number)

 

(2)         Have all other periodic reports required under Section 13 or 15(d) of the Securities Exchange Act of 1934 or Section 30 of the Investment Company Act of 1940 during the preceding 12 months or for such shorter period that the registrant was required to file such report(s) been filed? If answer is no, identify report(s).

☒ Yes         ☐ No

 

(3)         Is it anticipated that any significant change in results of operations from the corresponding period for the last fiscal year will be reflected by the earnings statements to be included in the subject report or portion thereof?

☐ Yes         ☒ No

 

If so, attach an explanation of the anticipated change, both narratively and quantitatively, and, if appropriate, state the reasons why a reasonable estimate of the results cannot be made.

 

 

 

 

         Pacific Health Care Organization, Inc.         

(Name of Registrant as Specified in Charter)

 

has caused this notification to be signed on its behalf by the undersigned hereunto duly authorized.

 

 

 

 

 

 

 

 

 

Date:         August 16, 2022 

By:

/s/ Kristina Kubota

 

 

 

Kristina Kubota

 

 

 

Chief Financial Officer