0001630933-16-000003.txt : 20160602 0001630933-16-000003.hdr.sgml : 20160602 20160602164015 ACCESSION NUMBER: 0001630933-16-000003 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20160602 DATE AS OF CHANGE: 20160602 EFFECTIVENESS DATE: 20160602 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Evidation Health, Inc. CENTRAL INDEX KEY: 0001630933 IRS NUMBER: 454887421 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-264303 FILM NUMBER: 161693015 BUSINESS ADDRESS: STREET 1: 15 N. ELLSWORTH AVENUE, SUITE 208 CITY: SAN MATEO STATE: CA ZIP: 94401 BUSINESS PHONE: 415-800-2052 MAIL ADDRESS: STREET 1: 15 N. ELLSWORTH AVENUE, SUITE 208 CITY: SAN MATEO STATE: CA ZIP: 94401 D 1 primary_doc.xml X0707 D LIVE 0001630933 Evidation Health, Inc. 15 N. ELLSWORTH AVENUE, SUITE 208 SAN MATEO CA CALIFORNIA 94401 650-727-5557 DELAWARE The Activity Exchange, Inc. None Corporation true 2012 Deborah Kilpatrick c/o Evidation Health, Inc. 15 N. ELLSWORTH AVENUE, SUITE 208 San Mateo CA CALIFORNIA 94401 Executive Officer Director Christine Lemke c/o Evidation Health, Inc. 15 N. ELLSWORTH AVENUE, SUITE 208 San Mateo CA CALIFORNIA 94401 Executive Officer Director Rowan Chapman c/o Evidation Health, Inc. 15 N. ELLSWORTH AVENUE, SUITE 208 San Mateo CA CALIFORNIA 94401 Director Raj Ganguly c/o Evidation Health, Inc. 15 N. ELLSWORTH AVENUE, SUITE 208 San Mateo CA CALIFORNIA 94401 Director Other Decline to Disclose 06b false 2016-05-25 false true true Series B Preferred Stock false 0 15500000 11599998 3900002 Actual Total Amount Sold is $11,599,998.13; Actual Total Remaining to be Sold is $3,900,001.87. false 3 0 0 0 false Evidation Health, Inc. /s/ Deborah Kilpatrick Deborah Kilpatrick CEO 2016-06-02