0001080368-22-000001.txt : 20220106
0001080368-22-000001.hdr.sgml : 20220106
20220106161348
ACCESSION NUMBER: 0001080368-22-000001
CONFORMED SUBMISSION TYPE: D
PUBLIC DOCUMENT COUNT: 1
ITEM INFORMATION: 06b
FILED AS OF DATE: 20220106
DATE AS OF CHANGE: 20220106
EFFECTIVENESS DATE: 20220106
FILER:
COMPANY DATA:
COMPANY CONFORMED NAME: Plant Based TeleHealth, Inc.
CENTRAL INDEX KEY: 0001902710
IRS NUMBER: 844228285
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: D
SEC ACT: 1933 Act
SEC FILE NUMBER: 021-428210
FILM NUMBER: 22514967
BUSINESS ADDRESS:
STREET 1: 1716 MAIN STREET
STREET 2: SUITE 163
CITY: LONGMONT
STATE: CO
ZIP: 80501
BUSINESS PHONE: 888-420-7284
MAIL ADDRESS:
STREET 1: 1716 MAIN STREET
STREET 2: SUITE 163
CITY: LONGMONT
STATE: CO
ZIP: 80501
D
1
primary_doc.xml
X0708
D
LIVE
0001902710
Plant Based TeleHealth, Inc.
1716 MAIN STREET
SUITE 163
LONGMONT
CO
COLORADO
80501
888-420-7284
DELAWARE
None
None
Corporation
true
2021
Anthony
Masiello
1716 MAIN STREET
Suite 163
LONGMONT
CO
COLORADO
80501
Executive Officer
Director
Director, President, CEO, and Secretary
Laurie
Marbas, MD
1716 MAIN STREET
Suite 163
LONGMONT
CO
COLORADO
80501
Director
Shaleen
Shah
1716 MAIN STREET
Suite 163
LONGMONT
CO
COLORADO
80501
Director
Other Health Care
Decline to Disclose
- 06b
false
2021-12-17
false
true
false
19998
749999
749999
0
false
7
0
0
0
false
Plant Based TeleHealth, Inc.
/Anthony Masiello/
Anthony Masiello
President and CEO
2022-01-05