0001653284-17-000002.txt : 20170306 0001653284-17-000002.hdr.sgml : 20170306 20170306111041 ACCESSION NUMBER: 0001653284-17-000002 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20170306 DATE AS OF CHANGE: 20170306 EFFECTIVENESS DATE: 20170306 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Leaf Healthcare, Inc. CENTRAL INDEX KEY: 0001653284 IRS NUMBER: 273643659 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-281834 FILM NUMBER: 17666850 BUSINESS ADDRESS: STREET 1: 5994 WEST POSITAS BLVD. STREET 2: SUITE 217 CITY: PLEASANTON STATE: CA ZIP: 94588 BUSINESS PHONE: 844-826-5323 MAIL ADDRESS: STREET 1: 5994 WEST POSITAS BLVD. STREET 2: SUITE 217 CITY: PLEASANTON STATE: CA ZIP: 94588 D 1 primary_doc.xml X0707 D LIVE 0001653284 Leaf Healthcare, Inc. 5994 WEST POSITAS BLVD. SUITE 217 PLEASANTON CA CALIFORNIA 94588 844-826-5323 DELAWARE Centauri Medical, Inc. None Corporation true Mark V. Weckwerth c/o Leaf Healthcare, Inc. 5994 West Positas Blvd., Suite 217 Pleasanton CA CALIFORNIA 94588 Executive Officer Director Donald R. Scifres c/o Leaf Healthcare, Inc. 5994 West Positas Blvd., Suite 217 Pleasanton CA CALIFORNIA 94588 Director James Holtz c/o Leaf Healthcare, Inc. 5994 West Positas Blvd., Suite 217 Pleasanton CA CALIFORNIA 94588 Director Ronald L. Chez c/o Leaf Healthcare, Inc. 5994 West Positas Blvd., Suite 217 Pleasanton CA CALIFORNIA 94588 Director Barrett Larson c/o Leaf Healthcare, Inc. 5994 West Positas Blvd., Suite 217 Pleasanton CA CALIFORNIA 94588 Executive Officer Director Other Health Care Decline to Disclose 06b false 2017-02-21 true true true false 0 9000001 6005284 2994717 false 13 0 0 0 false Leaf Healthcare, Inc. /s/Barrett Larson Barrett Larson Chief Executive Officer 2017-03-06