0000892712-15-000315.txt : 20150303 0000892712-15-000315.hdr.sgml : 20150303 20150303093549 ACCESSION NUMBER: 0000892712-15-000315 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20150303 DATE AS OF CHANGE: 20150303 EFFECTIVENESS DATE: 20150303 FILER: COMPANY DATA: COMPANY CONFORMED NAME: ELLI HEALTH, INC. CENTRAL INDEX KEY: 0001604448 IRS NUMBER: 462598681 STATE OF INCORPORATION: WI FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-235043 FILM NUMBER: 15667293 BUSINESS ADDRESS: STREET 1: N1 W31444 HICKORY HOLLOW CITY: DELAFIELD STATE: WI ZIP: 53018 BUSINESS PHONE: 262-378-0565 MAIL ADDRESS: STREET 1: N1 W31444 HICKORY HOLLOW CITY: DELAFIELD STATE: WI ZIP: 53018 D 1 primary_doc.xml X0707 D LIVE 0001604448 ELLI HEALTH, INC. N1 W31444 HICKORY HOLLOW DELAFIELD WI WISCONSIN 53018 262-378-0565 WISCONSIN None None Corporation true 2013 Jay C. Mason N1 W31444 Hickory Hollow Court Delafield WI WISCONSIN 53018 Executive Officer Director Promoter Chief Executive Officer and President Liem N. Nguyen N1 W31444 Hickory Hollow Court Delafield WI WISCONSIN 53018 Promoter Mr. Nguyen assisted in the organization of the issuer but is no longer an officer or director. Jeff Miller N1 W31444 Hickory Hollow Court Delafield WI WISCONSIN 53018 Executive Officer Director Secretary J. Michael Eaton N1 W31444 Hickory Hollow Court Delafield WI WISCONSIN 53018 Director Other Technology Decline to Disclose 06b false 2015-02-18 false true true false 50000 777350 774217 3133 false 8 0 0 0 false ELLI HEALTH, INC. /s/ Jay Mason Jay Mason Chief Executive Officer and President 2015-03-02