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