0001740102-18-000001.txt : 20180514 0001740102-18-000001.hdr.sgml : 20180514 20180514074909 ACCESSION NUMBER: 0001740102-18-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20180514 DATE AS OF CHANGE: 20180514 EFFECTIVENESS DATE: 20180514 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Evergreen Healthcare Technology, Inc CENTRAL INDEX KEY: 0001740102 IRS NUMBER: 821466859 STATE OF INCORPORATION: DE FISCAL YEAR END: 1218 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-312261 FILM NUMBER: 18828698 BUSINESS ADDRESS: STREET 1: 75 5TH STREET NW STREET 2: SUITE 2000 CITY: ATLANTA STATE: GA ZIP: 30308 BUSINESS PHONE: 404-452-5202 MAIL ADDRESS: STREET 1: 75 5TH STREET NW STREET 2: SUITE 2000 CITY: ATLANTA STATE: GA ZIP: 30308 D 1 primary_doc.xml X0708 D LIVE 0001740102 Evergreen Healthcare Technology, Inc 75 5TH STREET NW SUITE 2000 ATLANTA GA GEORGIA 30308 404-452-5202 DELAWARE None None Corporation true 2017 Richard Duke Copeland 75 5th Street NW Suite 2000 Atlanta GA GEORGIA 30308 Executive Officer Director Louise Chang 75 5th Street NW Suite 2000 Marietta GA GEORGIA 30308 Executive Officer Director Other Decline to Disclose 06b false 2018-05-09 false true S.A.F.E (simple agreement for future equity) false 150000 Indefinite 150000 Indefinite false 1 0 0 50000 true Founders' salary false Evergreen Healthcare Technology, Inc Richard D. Copeland, Jr. Richard D. Copeland, Jr. CEO 2018-05-14