0001567619-21-019542.txt : 20211109 0001567619-21-019542.hdr.sgml : 20211109 20211109143230 ACCESSION NUMBER: 0001567619-21-019542 CONFORMED SUBMISSION TYPE: D/A PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20211109 DATE AS OF CHANGE: 20211109 EFFECTIVENESS DATE: 20211109 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/A SEC ACT: 1933 Act SEC FILE NUMBER: 021-408803 FILM NUMBER: 211391488 BUSINESS ADDRESS: STREET 1: 1855 57TH COURT S. STREET 2: SUITE 100 CITY: BOULDER STATE: CO ZIP: 80301 BUSINESS PHONE: 844-372-1844 MAIL ADDRESS: STREET 1: 1855 57TH COURT S. STREET 2: SUITE 100 CITY: BOULDER STATE: CO ZIP: 80301 D/A 1 primary_doc.xml X0708 D/A LIVE 0001869786 Rebalance Health, Inc. 1855 57th Court S. Suite 100 Boulder CO COLORADO 80301 844-372-1844 DELAWARE None None Corporation true 2020 Justin A. Hai 1855 57th Court S. Suite 100 Boulder CO COLORADO 80301 Director Executive Officer President and Chief Executive Officer Scott L. Glenn 1855 57th Court S. Suite 100 Boulder CO COLORADO 80301 Director Executive Officer Treasurer James Breitmeyer, M.D., Ph.D. 1855 57th Court S. Suite 100 Boulder CO COLORADO 80301 Director Patrick Hopf 1855 57th Court S. Suite 100 Boulder CO COLORADO 80301 Director Charles Kloeris 1855 57th Court S. Suite 100 Boulder CO COLORADO 80301 Director Executive Officer Secretary Randy Hetrick 1855 57th Court S. Suite 100 Boulder CO COLORADO 80301 Director Biotechnology Decline to Disclose 06b true 0001567619-21-014392 2020-12-16 false true false 0 6700000 6699999 1 false 96 0 0 0 false Rebalance Health, Inc. /s/ Justin A. Hai Justin A. Hai President and Chief Executive Officer 2021-11-09