0001647898-16-000001.txt : 20160614 0001647898-16-000001.hdr.sgml : 20160614 20160614123056 ACCESSION NUMBER: 0001647898-16-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b ITEM INFORMATION: 4a5 FILED AS OF DATE: 20160614 DATE AS OF CHANGE: 20160614 EFFECTIVENESS DATE: 20160614 FILER: COMPANY DATA: COMPANY CONFORMED NAME: FirstVitals Health & Wellness, Inc. CENTRAL INDEX KEY: 0001647898 IRS NUMBER: 000000000 STATE OF INCORPORATION: CA FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-264951 FILM NUMBER: 161712457 BUSINESS ADDRESS: STREET 1: P.O. BOX 2500 CITY: DANVILLE STATE: CA ZIP: 94526 BUSINESS PHONE: (925) 299-8000 MAIL ADDRESS: STREET 1: P.O. BOX 2500 CITY: DANVILLE STATE: CA ZIP: 94526 D 1 primary_doc.xml X0707 D LIVE 0001647898 FirstVitals Health & Wellness, Inc. 1288 Ala Moana Blvd. Suite 27E Honolulu HI HAWAII 96814 (925) 299-8000 CALIFORNIA None None Corporation true 2013 Ernest G Lee P.O. Box 2500 Danville CA CALIFORNIA 94526 Executive Officer Director Promoter Chief Executive Officer, Founder, and Director Laurie KS Tom P.O. Box 2500 Danville CA CALIFORNIA 94526 Executive Officer Chief Medical Advisor Norine Wong P.O. Box 2500 Danville CA CALIFORNIA 94526 Executive Officer Vice-President of Operations and Business Development Gagan Singh P.O. Box 2500 Danville CA CALIFORNIA 94526 Executive Officer Chief Technology Officer Biotechnology Decline to Disclose 06b 4a5 false true false true false 15000 2025000 0 2025000 true 0 0 0 true 0 true See the Issuer's Confidential Private Placement Memorandum 0 true See the Issuer's Confidential Private Placement Memorandum. false FirstVitals Health & Wellness, Inc. Ernest G. Lee Ernest G. Lee CEO 2016-06-14