0001209191-16-126121.txt : 20160607 0001209191-16-126121.hdr.sgml : 20160607 20160607100159 ACCESSION NUMBER: 0001209191-16-126121 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20160607 DATE AS OF CHANGE: 20160607 EFFECTIVENESS DATE: 20160607 FILER: COMPANY DATA: COMPANY CONFORMED NAME: RetraceHealth, Inc. CENTRAL INDEX KEY: 0001641682 IRS NUMBER: 453620913 STATE OF INCORPORATION: MN FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-264474 FILM NUMBER: 161700185 BUSINESS ADDRESS: STREET 1: 60 S. 6TH ST., #2800 CITY: MINNEAPOLIS STATE: MN ZIP: 55402 BUSINESS PHONE: 651-334-0720 MAIL ADDRESS: STREET 1: 60 S. 6TH ST., #2800 CITY: MINNEAPOLIS STATE: MN ZIP: 55402 D 1 primary_doc.xml X0707 D LIVE 0001641682 RetraceHealth, Inc. 60 S. 6th St., #2800 Minneapolis MN MINNESOTA 55402 651-334-0720 MINNESOTA None None Corporation true 2013 Thompson Aderinkomi 60 S. 6th St., #2800 Minneapolis MN MINNESOTA 55402 Executive Officer Director Douglas Davenport 60 S. 6th St., #2800 Minneapolis MN MINNESOTA 55402 Director Linda Hall 60 S. 6th St., #2800 Minneapolis MN MINNESOTA 55402 Director Kyle Rolfing 60 S. 6th St., #2800 Minneapolis MN MINNESOTA 55402 Director Steven Bayer 60 S. 6th St., #2800 Minneapolis MN MINNESOTA 55402 Director Other Health Care Decline to Disclose 06b false 2016-05-27 false true true conversion from MN to DE true conversion from MN to DE 0 0 0 0 Plan of Conversion provided that MN shares automatically became shares of DE converted entity. false 8 0 0 0 false RetraceHealth, Inc. /s/ Thompson Aderinkomi Thompson Aderinkomi CEO, CFO, Sec & Treas. 2016-06-07