0001658182-15-000001.txt : 20151117 0001658182-15-000001.hdr.sgml : 20151117 20151117120003 ACCESSION NUMBER: 0001658182-15-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06c FILED AS OF DATE: 20151117 DATE AS OF CHANGE: 20151117 EFFECTIVENESS DATE: 20151117 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Forecast Health, Inc. CENTRAL INDEX KEY: 0001658182 IRS NUMBER: 472472489 STATE OF INCORPORATION: NC FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-251376 FILM NUMBER: 151237544 BUSINESS ADDRESS: STREET 1: 4829 EMPEROR BLVD. STREET 2: SUITE 400 CITY: DURHAM STATE: NC ZIP: 27703 BUSINESS PHONE: 8046900741 MAIL ADDRESS: STREET 1: 4829 EMPEROR BLVD. STREET 2: SUITE 400 CITY: DURHAM STATE: NC ZIP: 27703 D 1 primary_doc.xml X0707 D LIVE 0001658182 Forecast Health, Inc. 4829 EMPEROR BLVD. SUITE 400 DURHAM NC NORTH CAROLINA 27703 8046900741 NORTH CAROLINA None None Corporation true 2015 Michael Scott Cousins 4819 Emperor Blvd. Suite 400 Durham NC NORTH CAROLINA 27703 Executive Officer Director Shiva Kiran Kommareddi 4819 Emperor Blvd. Suite 400 Durham NC NORTH CAROLINA 27703 Executive Officer David Scott Gorstein 4819 Emperor Blvd. Suite 400 Durham NC NORTH CAROLINA 27703 Director Other Technology $1 - $1,000,000 06c false 2015-09-18 false true false 100000 2000000 1450000 550000 One investor may purchase the remainder, at the company's option false 3 0 1500000 Introduction to one investor, Illinois 30000 This amount if for salary for one of the executive officers false Forecast Health, Inc. Michael S. Cousins Michael S. Cousins President 2015-11-17