0001692278-16-000001.txt : 20161216 0001692278-16-000001.hdr.sgml : 20161216 20161216073042 ACCESSION NUMBER: 0001692278-16-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20161216 DATE AS OF CHANGE: 20161216 EFFECTIVENESS DATE: 20161216 FILER: COMPANY DATA: COMPANY CONFORMED NAME: HEALTHY ROSTER, INC. CENTRAL INDEX KEY: 0001692278 IRS NUMBER: 474154256 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-276444 FILM NUMBER: 162055041 BUSINESS ADDRESS: STREET 1: 20 NORTH STREET CITY: DUBLIN STATE: OH ZIP: 43017 BUSINESS PHONE: 614-505-7427 MAIL ADDRESS: STREET 1: 20 NORTH STREET CITY: DUBLIN STATE: OH ZIP: 43017 D 1 primary_doc.xml X0707 D LIVE 0001692278 HEALTHY ROSTER, INC. 20 NORTH STREET DUBLIN OH OHIO 43017 614-505-7427 DELAWARE HEALTHY ROSTER, LLC None Corporation true 2016 NATHAN HEERDT 20 NORTH STREET DUBLIN OH OHIO 43017 Executive Officer Director DAN FRONCZAK 20 NORTH STREET DUBLIN OH OHIO 43017 Executive Officer Director JIM HACKBARTH 20 NORTH STREET DUBLIN OH OHIO 43017 Director RYAN HELON 20 NORTH STREET DUBLIN OH OHIO 43017 Director SHAWN PRICE 20 NORTH STREET DUBLIN OH OHIO 43017 Executive Officer Other Technology Decline to Disclose 06b false 2016-11-02 false true false 5000 2000000 1425000 575000 false 12 0 0 150000 true false HEALTHY ROSTER, INC. Nathan Heerdt Nathan Heerdt Chief Executive Officer 2016-12-16