0001690998-16-000001.txt : 20161201 0001690998-16-000001.hdr.sgml : 20161201 20161130214138 ACCESSION NUMBER: 0001690998-16-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: Rule 504(b)(1) (not (i), (ii) or (iii)) ITEM INFORMATION: Rule 505 ITEM INFORMATION: 06b ITEM INFORMATION: 4a5 FILED AS OF DATE: 20161201 DATE AS OF CHANGE: 20161130 EFFECTIVENESS DATE: 20161201 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Oriah Behavioral Health Inc. CENTRAL INDEX KEY: 0001690998 IRS NUMBER: 811805877 STATE OF INCORPORATION: DE FISCAL YEAR END: 1216 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-275431 FILM NUMBER: 162026599 BUSINESS ADDRESS: STREET 1: 1215 ROUTE 70, SUITE 1001 CITY: LAKEWOOD STATE: NJ ZIP: 08701 BUSINESS PHONE: 732-942-5056 MAIL ADDRESS: STREET 1: 1215 ROUTE 70, SUITE 1001 CITY: LAKEWOOD STATE: NJ ZIP: 08701 D 1 primary_doc.xml X0707 D LIVE 0001690998 Oriah Behavioral Health Inc. 1215 ROUTE 70, SUITE 1001 LAKEWOOD NJ NEW JERSEY 08701 732-942-5056 DELAWARE None None Corporation true 2016 Tony Raj Juneja c/o Oriah Behavioral Health 1215 Route 70, Suite 1001 Lakewood NJ NEW JERSEY 08701 Executive Officer Director CEO, Director John Kissane c/o Oriah Behavioral Health 1215 Route 70, Suite 1001 Lakewood NJ NEW JERSEY 08701 Director Gary Nenner c/o Oriah Behavioral Health 1215 Route 70, Suite 1001 Lakewood NJ NEW JERSEY 08701 Director Other Health Care No Revenues 04 05 06b 4a5 false true false true true true true true Convertible Note false 25000 500000 0 500000 false 0 0 0 200000 true A maximum of $200,000.00 per year of the proceeds of the offering will be used to pay compensation of directors and/or executives. false Oriah Behavioral Health Inc. /s/ Tony R. Juneja Tony R. Juneja CEO 2016-11-22