0001719371-17-000001.txt : 20171018 0001719371-17-000001.hdr.sgml : 20171018 20171018120257 ACCESSION NUMBER: 0001719371-17-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20171018 DATE AS OF CHANGE: 20171018 EFFECTIVENESS DATE: 20171018 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Bloomlife, Inc. CENTRAL INDEX KEY: 0001719371 IRS NUMBER: 464825448 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-296945 FILM NUMBER: 171142212 BUSINESS ADDRESS: STREET 1: 1931 MCALLISTER ST STREET 2: SUITE D CITY: SAN FRANCISCO STATE: CA ZIP: 94115 BUSINESS PHONE: 415-215-4251 MAIL ADDRESS: STREET 1: 1931 MCALLISTER ST STREET 2: SUITE D CITY: SAN FRANCISCO STATE: CA ZIP: 94115 D 1 primary_doc.xml X0708 D LIVE 0001719371 Bloomlife, Inc. 1931 MCALLISTER ST SUITE D SAN FRANCISCO CA CALIFORNIA 94115 415-215-4251 DELAWARE Bloom Technologies, Inc. None Corporation true 2014 Eric Dy 1931 MCALLISTER ST SUITE D San Francisco CA CALIFORNIA 94115 Executive Officer Director Julien Penders 1931 MCALLISTER ST SUITE D San Francisco CA CALIFORNIA 94115 Executive Officer Director Lucio Lanza 1931 MCALLISTER ST SUITE D San Francisco CA CALIFORNIA 94115 Director Max Mirgoli 1931 MCALLISTER ST SUITE D San Francisco CA CALIFORNIA 94115 Director Young Sohn 1931 MCALLISTER ST SUITE D San Francisco CA CALIFORNIA 94115 Director Other Technology Not Applicable 06b false 2017-10-04 false true false 0 8925158 8114035 811123 false 37 0 0 0 false Bloomlife, Inc. /s/ Eric Dy Eric Dy President 2017-10-17