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