0001587469-24-000002.txt : 20240209 0001587469-24-000002.hdr.sgml : 20240209 20240209125241 ACCESSION NUMBER: 0001587469-24-000002 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20240209 DATE AS OF CHANGE: 20240209 EFFECTIVENESS DATE: 20240209 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Conversio Health, LLC CENTRAL INDEX KEY: 0001587469 ORGANIZATION NAME: IRS NUMBER: 800830713 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-504870 FILM NUMBER: 24613610 BUSINESS ADDRESS: STREET 1: 720 AEROVISTA PLACE STREET 2: SUITE D CITY: SAN LUIS OBISPO STATE: CA ZIP: 93401 BUSINESS PHONE: 3463201207 MAIL ADDRESS: STREET 1: 720 AEROVISTA PLACE STREET 2: SUITE D CITY: SAN LUIS OBISPO STATE: CA ZIP: 93401 D 1 primary_doc.xml X0708 D LIVE 0001587469 Conversio Health, LLC 720 AEROVISTA PLACE SUITE D SAN LUIS OBISPO CA CALIFORNIA 93401 8662393784 DELAWARE None None Limited Liability Company true Taylor Cline 720 AEROVISTA PLACE SUITE D SAN LUIS OBISPO CA CALIFORNIA 93401 Executive Officer Director Patrick Cline 720 AEROVISTA PLACE SUITE D SAN LUIS OBISPO CA CALIFORNIA 93401 Director Matthew Etheridge 720 AEROVISTA PLACE SUITE D SAN LUIS OBISPO CA CALIFORNIA 93401 Director James Hoxter 720 AEROVISTA PLACE SUITE D SAN LUIS OBISPO CA CALIFORNIA 93401 Director Richard Frank 720 AEROVISTA PLACE SUITE D SAN LUIS OBISPO CA CALIFORNIA 93401 Director Jonathan Phillips 720 AEROVISTA PLACE SUITE D SAN LUIS OBISPO CA CALIFORNIA 93401 Director Rachel Kern 720 AEROVISTA PLACE SUITE D SAN LUIS OBISPO CA CALIFORNIA 93401 Director Amanda Bringe 720 AEROVISTA PLACE SUITE D SAN LUIS OBISPO CA CALIFORNIA 93401 Executive Officer Scott Waddell 720 AEROVISTA PLACE SUITE D SAN LUIS OBISPO CA CALIFORNIA 93401 Executive Officer Dylan Herr 720 AEROVISTA PLACE SUITE D SAN LUIS OBISPO CA CALIFORNIA 93401 Executive Officer Bartho van Otterdyk 720 AEROVISTA PLACE SUITE D SAN LUIS OBISPO CA CALIFORNIA 93401 Executive Officer Devraj Mukherjee 720 AEROVISTA PLACE SUITE D SAN LUIS OBISPO CA CALIFORNIA 93401 Executive Officer Other Health Care Decline to Disclose 06b false 2024-01-27 false true false 0 16000000 12428660 3571340 false 1 0 0 0 false Conversio Health, LLC Bartho Bartho van Otterdyk Vice President Finance 2024-02-09