0001690998-16-000002.txt : 20161201 0001690998-16-000002.hdr.sgml : 20161201 20161201065549 ACCESSION NUMBER: 0001690998-16-000002 CONFORMED SUBMISSION TYPE: D/A 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: 20161201 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/A SEC ACT: 1933 Act SEC FILE NUMBER: 021-275431 FILM NUMBER: 162026690 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/A 1 primary_doc.xml X0707 D/A 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 Rajiv 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 true 0001690998-16-000001 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