0001681553-16-000001.txt : 20160804 0001681553-16-000001.hdr.sgml : 20160804 20160804150348 ACCESSION NUMBER: 0001681553-16-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20160804 DATE AS OF CHANGE: 20160804 EFFECTIVENESS DATE: 20160804 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Pacify Health, Inc. CENTRAL INDEX KEY: 0001681553 IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-268355 FILM NUMBER: 161806963 BUSINESS ADDRESS: STREET 1: 1410 Q STREET, N.W. CITY: WASHINGTON STATE: DC ZIP: 20009 BUSINESS PHONE: (615) 415-6257 MAIL ADDRESS: STREET 1: 1410 Q STREET, N.W. CITY: WASHINGTON STATE: DC ZIP: 20009 D 1 primary_doc.xml X0707 D LIVE 0001681553 Pacify Health, Inc. 1410 Q STREET, N.W. WASHINGTON DC DISTRICT OF COLUMBIA 20009 (615) 415-6257 DELAWARE None None Corporation true 2016 Ben Lundin 1410 Q Street, N.W. Washington DC DISTRICT OF COLUMBIA 20009 Executive Officer Director George Brandes 1410 Q Street, N.W. Washington DC DISTRICT OF COLUMBIA 20009 Executive Officer Director Other Not Applicable 06b false 2016-07-20 false true true A portion of the proceeds were satisfied by cancellation of indebtedness. false 0 2299994 2299994 0 A portion of the proceeds were satisfied by cancellation of indebtedness. false 18 0 0 0 false Pacify Health, Inc. /s/ George Brandes George Brandes Chief Operating Officer 2016-08-02