0001567619-22-010399.txt : 20220513 0001567619-22-010399.hdr.sgml : 20220513 20220513095507 ACCESSION NUMBER: 0001567619-22-010399 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20220513 DATE AS OF CHANGE: 20220513 EFFECTIVENESS DATE: 20220513 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: 021-445556 FILM NUMBER: 22920708 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 Executive Officer Director James B. Breitmeyer 1750 30th Street, Suite 444 Boulder CO COLORADO 80301 Director Scott L. Glenn 1750 30th Street, Suite 444 Boulder CO COLORADO 80301 Executive Officer Director Patrick A. Hopf 1750 30th Street, Suite 444 Boulder CO COLORADO 80301 Director Randy Hetrick 1750 30th Street, Suite 444 Boulder CO COLORADO 80301 Director Mark C. McKenna 1750 30th Street, Suite 444 Boulder CO COLORADO 80301 Director Fabian Sellbach 1750 30th Street, Suite 444 Boulder CO COLORADO 80301 Director Biotechnology Decline to Disclose 06b false 2022-02-16 false true false 0 10000000 7630672 2369328 false 68 0 0 0 false Rebalance Health, Inc. /s/ Justin A. Hai Justin A. Hai President and Chief Executive Officer 2022-05-06