0001650731-17-000003.txt : 20170523 0001650731-17-000003.hdr.sgml : 20170523 20170523115059 ACCESSION NUMBER: 0001650731-17-000003 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20170523 DATE AS OF CHANGE: 20170523 EFFECTIVENESS DATE: 20170523 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Icebreaker Health, Inc. CENTRAL INDEX KEY: 0001650731 IRS NUMBER: 462129512 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-287278 FILM NUMBER: 17863097 BUSINESS ADDRESS: STREET 1: 928 HARRISON STREET, SUITE 200 CITY: SAN FRANCISCO STATE: CA ZIP: 94107 BUSINESS PHONE: 650-335-7285 MAIL ADDRESS: STREET 1: 928 HARRISON STREET, SUITE 200 CITY: SAN FRANCISCO STATE: CA ZIP: 94107 D 1 primary_doc.xml X0707 D LIVE 0001650731 Icebreaker Health, Inc. 928 HARRISON STREET, SUITE 200 SAN FRANCISCO CA CALIFORNIA 94107 415-926-5818 DELAWARE Van Hwang, Inc. None Corporation true 2013 Ian Van Every 928 Harrison Street, Suite 200 San Francisco CA CALIFORNIA 94107 Executive Officer Director Paul Johnson c/o Icebreaker Health, Inc. 928 Harrison Street, Suite 200 San Francisco CA CALIFORNIA 94107 Executive Officer Director Campbell Murray c/o Icebreaker Health, Inc. 928 Harrison Street, Suite 200 San Francisco CA CALIFORNIA 94107 Director Lana Ghanem c/o Icebreaker Health, Inc. 928 Harrison Street, Suite 200 San Francisco CA CALIFORNIA 94107 Director Other Technology Decline to Disclose 06b false 2017-05-17 false true false 0 12900004 10955004 1945000 false 12 0 0 0 false Icebreaker Health, Inc. /s/ Paul Johnson Paul Johnson Co-Chief Executive Officer 2017-05-23