0001567619-21-014392.txt : 20210804 0001567619-21-014392.hdr.sgml : 20210804 20210804132048 ACCESSION NUMBER: 0001567619-21-014392 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20210804 DATE AS OF CHANGE: 20210804 EFFECTIVENESS DATE: 20210804 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Rebalance Health, Inc. CENTRAL INDEX KEY: 0001869786 IRS NUMBER: 853444366 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-408803 FILM NUMBER: 211143347 BUSINESS ADDRESS: STREET 1: 1750 30TH STREET STREET 2: SUITE 444 CITY: BOULDER STATE: CO ZIP: 80301 BUSINESS PHONE: 844-372-1844 MAIL ADDRESS: STREET 1: 1750 30TH STREET STREET 2: SUITE 444 CITY: BOULDER STATE: CO ZIP: 80301 D 1 primary_doc.xml X0708 D LIVE 0001869786 Rebalance Health, Inc. 1750 30th Street, Suite 444 Boulder CO COLORADO 80301 844-372-1844 DELAWARE None None Corporation true 2020 Justin A. Hai 1750 30th Street, Suite 444 Boulder CO COLORADO 80301 Director Executive Officer President and Chief Executive Officer Scott L. Glenn 1750 30th Street, Suite 444 Boulder CO COLORADO 80301 Director Executive Officer Treasurer James Breitmeyer, M.D., Ph.D. 1750 30th Street, Suite 444 Boulder CO COLORADO 80301 Director Patrick Hopf 1750 30th Street, Suite 444 Boulder CO COLORADO 80301 Director Charles Kloeris 1750 30th Street, Suite 444 Boulder CO COLORADO 80301 Director Executive Officer Secretary Biotechnology Decline to Disclose 06b false 2020-12-16 false true false 0 5005000 4249979 755021 false 72 0 0 0 false Rebalance Health, Inc. /s/ Justin A. Hai Justin A. Hai President and Chief Executive Officer 2021-08-03