0001630933-17-000002.txt : 20170426 0001630933-17-000002.hdr.sgml : 20170426 20170426170820 ACCESSION NUMBER: 0001630933-17-000002 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20170426 DATE AS OF CHANGE: 20170426 EFFECTIVENESS DATE: 20170426 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: 021-285551 FILM NUMBER: 17785289 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. 11 N. ELLSWORTH AVENUE SAN MATEO CA CALIFORNIA 94401 (650)727-5557 DELAWARE The Activity Exchange Inc. None Corporation true 2012 Deborah Kilpatrick c/o Evidation Health, Inc. 11 N. Ellesworth Avenue San Mateo CA CALIFORNIA 94401 Executive Officer Director Christine Lemke c/o Evidation Health, Inc. 11 N. Ellsworth Avenue San Mateo CA CALIFORNIA 94401 Executive Officer Director Lisa Suennen c/o Evidation Health, Inc. 11 N. Ellsworth Avenue San Mateo CA CALIFORNIA 94401 Director Raj Ganguly c/o Evidation Health, Inc. 11 N. Ellsworth Avenue San Mateo CA CALIFORNIA 94401 Director Rowan Chapman c/o Evidation Health, Inc. 11 N. Ellsworth Avenue San Mateo CA CALIFORNIA 94401 Director Other Decline to Disclose 06b false 2017-04-11 false true true Series B-1 Preferred Stock false 0 9999997 9999997 0 Actual Total Offering Amount is $9,999,996.45; and Actual Total Amount Sold is $9,999,996.45 false 3 0 0 0 false Evidation Health, Inc. /s/ Deborah Kilpatrick Deborah Kilpatrick CEO 2017-04-26