0001735827-18-000001.txt : 20180402 0001735827-18-000001.hdr.sgml : 20180402 20180330193330 ACCESSION NUMBER: 0001735827-18-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20180402 DATE AS OF CHANGE: 20180330 EFFECTIVENESS DATE: 20180402 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Format Health, Inc. CENTRAL INDEX KEY: 0001735827 IRS NUMBER: 814930270 STATE OF INCORPORATION: WA FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-309062 FILM NUMBER: 18727009 BUSINESS ADDRESS: STREET 1: 220 2ND AVE S., SUITE 203 CITY: SEATTLE STATE: WA ZIP: 98104 BUSINESS PHONE: 206-659-6491 MAIL ADDRESS: STREET 1: 220 2ND AVE S., SUITE 203 CITY: SEATTLE STATE: WA ZIP: 98104 D 1 primary_doc.xml X0708 D LIVE 0001735827 Format Health, Inc. 220 2ND AVE S., SUITE 203 SEATTLE WA WASHINGTON 98104 206-659-6491 WASHINGTON None None Corporation true 2016 Howe Brian c/o Format Health, Inc. 220 2nd Ave S., Suite 203 Seattle WA WASHINGTON 98104 Executive Officer Director Other Technology Decline to Disclose 06b false 2018-03-19 false true false 0 1554500 506614 1047886 false 6 0 0 0 false Format Health, Inc. /s/ Brian Howe Brian Howe President and Chief Executive Officer 2018-03-30