0001634005-20-000002.txt : 20201203 0001634005-20-000002.hdr.sgml : 20201203 20201203162359 ACCESSION NUMBER: 0001634005-20-000002 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20201203 DATE AS OF CHANGE: 20201203 EFFECTIVENESS DATE: 20201203 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: 021-382189 FILM NUMBER: 201367204 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 X0708 D LIVE 0001634005 Third Eye Health, Inc. 222 W. Merchandise Mart Plaza #1230 CHICAGO IL ILLINOIS 60654 617-216-9609 DELAWARE None None Corporation true Mary Kate Salley 222 W. Merchandise Mart Plaza #1230 Chicago IL ILLINOIS 60654 Executive Officer Director Promoter Dan Herbstman 222 W. Merchandise Mart Plaza #1230 Chicago IL ILLINOIS 60654 Executive Officer Director Stefan Lefar 222 W. Merchandise Mart Plaza #1230 Chicago IL ILLINOIS 60654 Director Russell Hirsch 222 W. Merchandise Mart Plaza #1230 Chicago IL ILLINOIS 60654 Director David Reis 222 W. Merchandise Mart Plaza #1230 Chicago IL ILLINOIS 60654 Director Amish Patel 222 W. Merchandise Mart Plaza #1230 Chicago IL ILLINOIS 60654 Director Other Health Care Decline to Disclose 06b false 2020-10-26 false true true true false 0 4525000 4080566 444434 false 12 0 0 0 Proceeds will be used for working capital, which may include normal compensation to executive officers. false Third Eye Health, Inc. Mary Kate Salley Mary Kate Salley CEO 2020-12-02