0001701505-17-000001.txt : 20170328 0001701505-17-000001.hdr.sgml : 20170328 20170328122949 ACCESSION NUMBER: 0001701505-17-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20170328 DATE AS OF CHANGE: 20170328 EFFECTIVENESS DATE: 20170328 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Conversa Health, Inc. CENTRAL INDEX KEY: 0001701505 IRS NUMBER: 464671232 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-283436 FILM NUMBER: 17718100 BUSINESS ADDRESS: STREET 1: 828 NW HOYT STREET CITY: PORTLAND STATE: OR ZIP: 97209 BUSINESS PHONE: (415) 482-8149 MAIL ADDRESS: STREET 1: 828 NW HOYT STREET CITY: PORTLAND STATE: OR ZIP: 97209 D 1 primary_doc.xml X0707 D LIVE 0001701505 Conversa Health, Inc. 828 NW HOYT STREET PORTLAND OR OREGON 97209 (415) 482-8149 DELAWARE None None Corporation true 2014 West Shell III 828 NW Hoyt Street Portland OR OREGON 97209 Executive Officer Director Philip Marshall 828 NW Hoyt Street Portland OR OREGON 97209 Executive Officer Director Peter Levin 828 NW Hoyt Street Portland OR OREGON 97209 Director Joseph Schulman 828 NW Hoyt Street Portland OR OREGON 97209 Director Other Technology Decline to Disclose 06b false 2017-03-13 false true false 0 11688948 7948132 3740816 false 36 0 0 0 false Conversa Health, Inc. /s/ West Shell III West Shell III Chief Executive Officer 2017-03-27