0001140361-17-005282.txt : 20170209 0001140361-17-005282.hdr.sgml : 20170209 20170209110325 ACCESSION NUMBER: 0001140361-17-005282 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20170209 DATE AS OF CHANGE: 20170209 EFFECTIVENESS DATE: 20170209 FILER: COMPANY DATA: COMPANY CONFORMED NAME: HealthReveal, Inc. CENTRAL INDEX KEY: 0001641152 IRS NUMBER: 473253693 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-280365 FILM NUMBER: 17585930 BUSINESS ADDRESS: STREET 1: 135 EAST 57TH STREET CITY: NEW YORK STATE: NY ZIP: 10022 BUSINESS PHONE: 917-733-3306 MAIL ADDRESS: STREET 1: 135 EAST 57TH STREET CITY: NEW YORK STATE: NY ZIP: 10022 D 1 primary_doc.xml X0707 D LIVE 0001641152 HealthReveal, Inc. 135 EAST 57TH STREET NEW YORK NY NEW YORK 10022 917-733-3306 DELAWARE 2015 Holdco, Inc. None Corporation true 2015 Lonny Reisman c/o HealthReveal, Inc. 135 East 57th Street New York NY NEW YORK 10022 Executive Officer Director Chief Executive Officer, President and Secretary Mark Keim c/o HealthReveal, Inc. 135 East 57th Street New York NY NEW YORK 10022 Executive Officer Chief Financial Officer Lori Bernstein c/o HealthReveal, Inc. 135 East 57th Street New York NY NEW YORK 10022 Executive Officer Chief Operating Officer Frank Norman c/o HealthReveal, Inc. 135 East 57th Street New York NY NEW YORK 10022 Executive Officer Chief Information Officer Other Technology Decline to Disclose 06b false 2017-02-01 false true false 0 12000000 11137747 862253 Series A Preferred Stock false 9 0 0 0 false HealthReveal, Inc. /s/ Lonny Reisman Lonny Reisman CEO 2017-02-06