0001628502-14-000002.txt : 20141218 0001628502-14-000002.hdr.sgml : 20141218 20141218141815 ACCESSION NUMBER: 0001628502-14-000002 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20141218 DATE AS OF CHANGE: 20141218 EFFECTIVENESS DATE: 20141218 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Amplify Health, Inc. CENTRAL INDEX KEY: 0001628502 IRS NUMBER: 452993147 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-230411 FILM NUMBER: 141295237 BUSINESS ADDRESS: STREET 1: 25 DIVISION ST STREET 2: SUITE 205 CITY: SAN FRANCISCO STATE: CA ZIP: 94103 BUSINESS PHONE: 4157262017 MAIL ADDRESS: STREET 1: 25 DIVISION ST STREET 2: SUITE 205 CITY: SAN FRANCISCO STATE: CA ZIP: 94103 D 1 primary_doc.xml X0707 D LIVE 0001628502 Amplify Health, Inc. 25 DIVISION ST SUITE 205 SAN FRANCISCO CA CALIFORNIA 94103 4157262017 DELAWARE None None Corporation true 2011 Eric Page 25 Divison St Suite 205 San Francisco CA CALIFORNIA 94103 Executive Officer Director President, CEO, Secretary Other Technology $1,000,001 - $5,000,000 06b false 2013-12-16 true true true true false 25000 1500000 520000 980000 false 14 0 0 0 false Amplify Health, Inc. /s/ Robert B. Dellenbach Robert B. Dellenbach Attorney 2014-12-18