0001694514-21-000001.txt : 20210303 0001694514-21-000001.hdr.sgml : 20210303 20210303131605 ACCESSION NUMBER: 0001694514-21-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20210303 DATE AS OF CHANGE: 20210303 EFFECTIVENESS DATE: 20210303 FILER: COMPANY DATA: COMPANY CONFORMED NAME: MyA Health, Inc. CENTRAL INDEX KEY: 0001694514 IRS NUMBER: 810757434 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-391107 FILM NUMBER: 21708074 BUSINESS ADDRESS: STREET 1: 45 PROSPECT STREET CITY: CAMBRIDGE STATE: MA ZIP: 02139 BUSINESS PHONE: 765-409-1596 MAIL ADDRESS: STREET 1: 45 PROSPECT STREET CITY: CAMBRIDGE STATE: MA ZIP: 02139 D 1 primary_doc.xml X0708 D LIVE 0001694514 MyA Health, Inc. 45 PROSPECT STREET CAMBRIDGE MA MASSACHUSETTS 02139 765-409-1596 DELAWARE None None Corporation true Nataly Youssef 45 Prospect Street CAMBRIDGE MA MASSACHUSETTS 02139 Executive Officer Director Promoter Dimitris Bertsimas 45 Prospect Street CAMBRIDGE MA MASSACHUSETTS 02139 Executive Officer Director Promoter Jamie Goldstein 45 Prospect Street CAMBRIDGE MA MASSACHUSETTS 02139 Director Other Technology Decline to Disclose 06b false 2021-02-16 false true true false 0 1500000 1000000 500000 false 4 0 0 0 false MyA Health, Inc. /s/ Nataly Youssef Nataly Youssef President 2021-03-03