0001775231-19-000001.txt : 20190507 0001775231-19-000001.hdr.sgml : 20190507 20190507121638 ACCESSION NUMBER: 0001775231-19-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20190507 DATE AS OF CHANGE: 20190507 EFFECTIVENESS DATE: 20190507 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Mental Health Match, Inc. CENTRAL INDEX KEY: 0001775231 IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-338959 FILM NUMBER: 19802118 BUSINESS ADDRESS: STREET 1: 1126 NE 69TH AVE. CITY: PORTLAND STATE: OR ZIP: 97213 BUSINESS PHONE: 713-446-3736 MAIL ADDRESS: STREET 1: 1126 NE 69TH AVE. CITY: PORTLAND STATE: OR ZIP: 97213 D 1 primary_doc.xml X0708 D LIVE 0001775231 Mental Health Match, Inc. 1126 NE 69TH AVE. PORTLAND OR OREGON 97213 713-446-3736 DELAWARE None None Corporation true 2018 Ryan Schwartz 1126 NE 69TH AVE. Portland OR OREGON 97213 Executive Officer Director Promoter Other Technology Decline to Disclose 06b false 2019-04-26 false true true true false 10000 500000 60000 440000 false 2 0 0 0 Certain persons named in Item 3 or affiliate(s) thereof may receive payments deemed to be made from the proceeds of the offering. The amounts of such payments cannot be estimated at this time. false Mental Health Match, Inc. /s/ Ryan Schwartz Ryan Schwartz CEO 2019-05-07