0001684289-16-000003.txt : 20160914 0001684289-16-000003.hdr.sgml : 20160914 20160913191456 ACCESSION NUMBER: 0001684289-16-000003 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20160914 DATE AS OF CHANGE: 20160913 EFFECTIVENESS DATE: 20160914 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Jellyfish Health, LLC CENTRAL INDEX KEY: 0001647687 IRS NUMBER: 471750846 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-270565 FILM NUMBER: 161883847 BUSINESS ADDRESS: STREET 1: 97 OAK AVE. CITY: PANAMA CITY STATE: FL ZIP: 32401 BUSINESS PHONE: 1-800-933-1620 MAIL ADDRESS: STREET 1: 97 OAK AVE. CITY: PANAMA CITY STATE: FL ZIP: 32401 D 1 primary_doc.xml X0707 D LIVE 0001647687 Jellyfish Health, LLC 97 OAK AVE. PANAMA CITY FL FLORIDA 32401 1-800-933-1620 DELAWARE None None Limited Liability Company true 2014 David Dyell 97 Oak Ave. Panama City FL FLORIDA 32401 Executive Officer Director Executive Officer and member of the Management Committee Patrick Leonpacher 97 Oak Ave. Panama City FL FLORIDA 32401 Executive Officer Director Executive Officer and member of the Management Committee Shannon Hastings 97 Oak Ave. Panama City FL FLORIDA 32401 Executive Officer Kathy D. Ford 97 Oak Ave. Panama City FL FLORIDA 32401 Executive Officer John Colaiacovo 97 Oak Ave. Panama City FL FLORIDA 32401 Executive Officer Michael Blom 97 Oak Ave. Panama City FL FLORIDA 32401 Director Member of the Management Committee Kevin Gordon 97 Oak Ave. Panama City FL FLORIDA 32401 Director Member of the Management Committee Other Health Care Decline to Disclose 06b false true false true false 0 International Assets Advisory, LLC 10645 None None 390 N. Orange Avenue, Suite 750 Orlando FL FLORIDA 32801 FL FLORIDA MA MASSACHUSETTS MI MICHIGAN NJ NEW JERSEY NY NEW YORK OH OHIO TX TEXAS false 5000000 0 5000000 false 0 500000 true 0 Represents 10% of the maximum amount of gross proceeds payable to Placement Agent or its sub-agents. The Placement Agent will also receive a warrant to purchase 10% of the number of Class C Preferred Units sold by the Placement Agent or its sub-agents. 0 false Jellyfish Health, LLC /s/ David Dyell David Dyell President and Chief Executive Officer 2016-09-08