0001688512-16-000001.txt : 20161028 0001688512-16-000001.hdr.sgml : 20161028 20161027200412 ACCESSION NUMBER: 0001688512-16-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20161028 DATE AS OF CHANGE: 20161027 EFFECTIVENESS DATE: 20161028 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Annum Health, Inc. CENTRAL INDEX KEY: 0001688512 IRS NUMBER: 812903399 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-273391 FILM NUMBER: 161956725 BUSINESS ADDRESS: STREET 1: 30 WEST 60TH STREET, #3M CITY: NEW YORK STATE: NY ZIP: 10023 BUSINESS PHONE: 9173856355 MAIL ADDRESS: STREET 1: 30 WEST 60TH STREET, #3M CITY: NEW YORK STATE: NY ZIP: 10023 D 1 primary_doc.xml X0707 D LIVE 0001688512 Annum Health, Inc. 30 West 60th Street, #3M New York NY NEW YORK 10023 (917) 385-6355 DELAWARE None None Corporation true 2016 Michael Laskoff c/o Annum Health, Inc. 30 West 60th Street, #3M New York NY NEW YORK 10023 Executive Officer Director Promoter Lauren Wolfe c/o Annum Health, Inc. 30 West 60th Street, #3M New York NY NEW YORK 10023 Executive Officer Mark Willenbring c/o Annum Health, Inc. 30 West 60th Street, #3M New York NY NEW YORK 10023 Executive Officer Manish Agarwal c/o Annum Health, Inc. 30 West 60th Street, #3M New York NY NEW YORK 10023 Director Nina Kjellson c/o Annum Health, Inc. 30 West 60th Street, #3M New York NY NEW YORK 10023 Director Miki Kapoor c/o Annum Health, Inc. 30 West 60th Street, #3M New York NY NEW YORK 10023 Director Other Health Care Decline to Disclose 06b false 2016-10-17 false true false 0 2500000 2500000 0 false 3 0 0 0 false Annum Health, Inc. /s/ Michael B. Laskoff Michael B. Laskoff Chief Executive Officer 2016-10-21