0001702850-17-000001.txt : 20170404 0001702850-17-000001.hdr.sgml : 20170404 20170404124318 ACCESSION NUMBER: 0001702850-17-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b ITEM INFORMATION: Investment Company Act Section 3(c) ITEM INFORMATION: Section 3(c)(1) ITEM INFORMATION: Section 3(c)(5) FILED AS OF DATE: 20170404 DATE AS OF CHANGE: 20170404 EFFECTIVENESS DATE: 20170404 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Backpack Health, LLC CENTRAL INDEX KEY: 0001702850 IRS NUMBER: 812004573 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-283996 FILM NUMBER: 17737036 BUSINESS ADDRESS: STREET 1: 3 BRIDGE STREET CITY: DOVER STATE: MA ZIP: 02030 BUSINESS PHONE: 6178541469 MAIL ADDRESS: STREET 1: 3 BRIDGE STREET CITY: DOVER STATE: MA ZIP: 02030 D 1 primary_doc.xml X0707 D LIVE 0001702850 Backpack Health, LLC 3 BRIDGE STREET DOVER MA MASSACHUSETTS 02030 6178541469 DELAWARE Clusterhealth, LLC None Limited Liability Company true 2016 James Cavan 3 Bridge Street Dover MA MASSACHUSETTS 02030 Executive Officer President and CEO Mark Goldman 3 Bridge Street Dover MA MASSACHUSETTS 02030 Executive Officer Chairman n/a The Mark Goldman 2000 Family Trust 3 Bridge Street Dover MA MASSACHUSETTS 02030 Executive Officer Managing Member Other Technology Decline to Disclose 06b 3C 3C.1 3C.5 false true false true false 0 3000000 0 3000000 false 0 0 0 0 false Backpack Health, LLC /s/Jeffrey P. Cleven Jeffrey P. Cleven Authorized Person 2017-03-27