0001445866-18-001356.txt : 20181217 0001445866-18-001356.hdr.sgml : 20181217 20181217165156 ACCESSION NUMBER: 0001445866-18-001356 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20181217 DATE AS OF CHANGE: 20181217 EFFECTIVENESS DATE: 20181217 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Lily Health USA Inc. CENTRAL INDEX KEY: 0001761757 IRS NUMBER: 831619764 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-328178 FILM NUMBER: 181238616 BUSINESS ADDRESS: STREET 1: 4023 KENNETT PIKE #50300 CITY: WILMINGTON STATE: DE ZIP: 19807 BUSINESS PHONE: 415-301-8418 MAIL ADDRESS: STREET 1: 4023 KENNETT PIKE #50300 CITY: WILMINGTON STATE: DE ZIP: 19807 D 1 primary_doc.xml X0708 D LIVE 0001761757 Lily Health USA Inc. 4023 KENNETT PIKE #50300 WILMINGTON DE DELAWARE 19807 415-301-8418 DELAWARE None None Corporation true 2018 MacGregor Lennarz 4023 KENNETT PIKE #50300 WILMINGTON DE DELAWARE 19807 Executive Officer Other Health Care No Revenues 06b false 2018-11-29 false true true false 5000 252250 252250 0 true 6 13 0 0 0 false Lily Health USA Inc. /s/ MacGregor Lennarz MacGregor Lennarz Chief Executive Officer 2018-12-12