0001661167-15-000001.txt : 20151217 0001661167-15-000001.hdr.sgml : 20151217 20151217162922 ACCESSION NUMBER: 0001661167-15-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20151217 DATE AS OF CHANGE: 20151217 EFFECTIVENESS DATE: 20151217 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Lumio Health, Inc. CENTRAL INDEX KEY: 0001661167 IRS NUMBER: 475441974 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-253317 FILM NUMBER: 151293978 BUSINESS ADDRESS: STREET 1: 76 KING STREET STREET 2: UNIT 2 CITY: DORCHESTER STATE: MA ZIP: 02122 BUSINESS PHONE: 520-304-5758 MAIL ADDRESS: STREET 1: 76 KING STREET STREET 2: UNIT 2 CITY: DORCHESTER STATE: MA ZIP: 02122 D 1 primary_doc.xml X0707 D LIVE 0001661167 Lumio Health, Inc. 76 KING STREET UNIT 2 DORCHESTER MA MASSACHUSETTS 02122 520-304-5758 DELAWARE None None Corporation true 2015 Mounir Ahmad Koussa c/o Lumio Health, Inc. 76 King Street, Unit #2 Dorchester MA MASSACHUSETTS 02122 Executive Officer Director Joshua John Forman c/o Lumio Health, Inc. 76 King Street, Unit #2 Dorchester MA MASSACHUSETTS 02122 Executive Officer Zhi-Yang Tsun c/o Lumio Health, Inc. 76 King Street, Unit #2 Dorchester MA MASSACHUSETTS 02122 Executive Officer Other Health Care Decline to Disclose 06b false 2015-12-14 false true false 0 2424995 2424995 0 false 5 0 0 0 false Lumio Health, Inc. /s/ Mounir Ahmad Koussa Mounir Ahmad Koussa President and CEO 2015-12-17