0001634005-16-000005.txt : 20161117 0001634005-16-000005.hdr.sgml : 20161117 20161117152822 ACCESSION NUMBER: 0001634005-16-000005 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20161117 DATE AS OF CHANGE: 20161117 EFFECTIVENESS DATE: 20161117 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Third Eye Health, Inc. CENTRAL INDEX KEY: 0001634005 IRS NUMBER: 473593672 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-274727 FILM NUMBER: 162004855 BUSINESS ADDRESS: STREET 1: 3133 NORTH LAKEWOOD AVENUE STREET 2: SUITE 4F CITY: CHICAGO STATE: IL ZIP: 60657 BUSINESS PHONE: 617-216-9609 MAIL ADDRESS: STREET 1: 3133 NORTH LAKEWOOD AVENUE STREET 2: SUITE 4F CITY: CHICAGO STATE: IL ZIP: 60657 D 1 primary_doc.xml X0707 D LIVE 0001634005 Third Eye Health, Inc. 3133 NORTH LAKEWOOD AVENUE SUITE 4F CHICAGO IL ILLINOIS 60657 617-216-9609 DELAWARE None None Corporation true 2014 Daniel Herbstman 3133 North Lakewood Avenue Suite 4F Chicago IL ILLINOIS 60657 Executive Officer Director Promoter Lucas Baran 3133 North Lakewood Avenue Suite 4F Chicago IL ILLINOIS 60657 Executive Officer Director Promoter Jamison Feramisco 3133 North Lakewood Avenue Suite 4F Chicago IL ILLINOIS 60657 Director Michael Sachs 3133 North Lakewood Avenue Suite 4F Chicago IL ILLINOIS 60657 Director Other Health Care Decline to Disclose 06b false 2016-11-04 false true true false 0 1080091 1080091 0 false 1 0 0 0 Proceeds will be used for working capital, which will include normal compensation to executive officers. false Third Eye Health, Inc. Daniel Herbstman Daniel Herbstman Chief Executive Officer 2016-11-16