0001634005-23-000001.txt : 20230911 0001634005-23-000001.hdr.sgml : 20230911 20230911123614 ACCESSION NUMBER: 0001634005-23-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20230911 DATE AS OF CHANGE: 20230911 EFFECTIVENESS DATE: 20230911 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: 021-491776 FILM NUMBER: 231247260 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 Dan Herbstman 222 W. Merchandise Mart Plaza #1230 Chicago IL ILLINOIS 60654 Executive Officer Director Promoter Rachel Kern 222 W. Merchandise Mart Plaza #1230 Chicago IL ILLINOIS 60654 Director Mary Kate Salley 222 W. Merchandise Mart Plaza #1230 Chicago IL ILLINOIS 60654 Director Russell Hirsch 222 W. Merchandise Mart Plaza #1230 Chicago IL ILLINOIS 60654 Director Lucas Baran 222 W. Merchandise Mart Plaza #1230 Chicago IL ILLINOIS 60654 Executive Officer Steve Lefar 222 W. Merchandise Mart Plaza #1230 Chicago IL ILLINOIS 60654 Director Kirsten Morbeck 222 W. Merchandise Mart Plaza #1230 Chicago IL ILLINOIS 60654 Director Leo Brubaker 222 W. Merchandise Mart Plaza #1230 Chicago IL ILLINOIS 60654 Director Other Health Care Decline to Disclose 06b false 2023-09-06 false true false 0 6000000 6000000 0 false 7 0 0 0 Proceeds will be used for working capital, which may include normal compensation to executive officers. false Third Eye Health, Inc. Dan Herbstman Dan Herbstman CEO 2023-09-08