0001659578-17-000001.txt : 20171122
0001659578-17-000001.hdr.sgml : 20171122
20171121202650
ACCESSION NUMBER: 0001659578-17-000001
CONFORMED SUBMISSION TYPE: D
PUBLIC DOCUMENT COUNT: 1
ITEM INFORMATION: 06b
FILED AS OF DATE: 20171122
DATE AS OF CHANGE: 20171121
EFFECTIVENESS DATE: 20171122
FILER:
COMPANY DATA:
COMPANY CONFORMED NAME: Vital Plan, Inc.
CENTRAL INDEX KEY: 0001659578
IRS NUMBER: 262714345
STATE OF INCORPORATION: NC
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: D
SEC ACT: 1933 Act
SEC FILE NUMBER: 021-299358
FILM NUMBER: 171218228
BUSINESS ADDRESS:
STREET 1: C/O INDUSTRIOUS 555 FAYETTEVILLE STREET
CITY: RALEIGH
STATE: NC
ZIP: 27601
BUSINESS PHONE: 800-951-2414
MAIL ADDRESS:
STREET 1: C/O INDUSTRIOUS 555 FAYETTEVILLE STREET
CITY: RALEIGH
STATE: NC
ZIP: 27601
D
1
primary_doc.xml
X0708
D
LIVE
0001659578
Vital Plan, Inc.
13000 Weston Parkway
Cary
NC
NORTH CAROLINA
27513
800-951-2414
NORTH CAROLINA
First Do No Harm Health Systems, Inc.
None
Corporation
true
Braden
Rawls
13000 Weston Parkway
Cary
NC
NORTH CAROLINA
27513
Executive Officer
Director
William
Rawls
13000 Weston Parkway
Cary
NC
NORTH CAROLINA
27513
Director
Walter
Clarke
13000 Weston Parkway
Cary
NC
NORTH CAROLINA
27513
Director
Other
Decline to Disclose
- 06b
false
2017-10-20
false
true
Simple Agreement for Future Equity (SAFE)
false
0
125000
125000
0
false
2
0
0
0
false
Vital Plan, Inc.
/s/ Jesse H. Jones
Jesse H. Jones
Attorney in Fact
2017-11-21