0001785040-21-000001.txt : 20210505 0001785040-21-000001.hdr.sgml : 20210505 20210505142731 ACCESSION NUMBER: 0001785040-21-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20210505 DATE AS OF CHANGE: 20210505 EFFECTIVENESS DATE: 20210505 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Predictive Fitness, Inc. CENTRAL INDEX KEY: 0001785040 IRS NUMBER: 271404523 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-398347 FILM NUMBER: 21892633 BUSINESS ADDRESS: STREET 1: 2600 E. SOUTHLAKE BLVD., STE. 120 #140 CITY: SOUTHLAKE STATE: TX ZIP: 76092 BUSINESS PHONE: 866-961-5551 MAIL ADDRESS: STREET 1: 2600 E. SOUTHLAKE BLVD., STE. 120 #140 CITY: SOUTHLAKE STATE: TX ZIP: 76092 FORMER COMPANY: FORMER CONFORMED NAME: Predictive Fitness, LLC DATE OF NAME CHANGE: 20190808 D 1 primary_doc.xml X0708 D LIVE 0001785040 Predictive Fitness, Inc. 2600 E. SOUTHLAKE BLVD., STE. 120 #140 SOUTHLAKE TX TEXAS 76092 866-961-5551 DELAWARE Predictive Fitness, LLC Corporation true Jeff Booher C/O PREDICTIVE FITNESS, INC. 2600 E. SOUTHLAKE BLVD., STE. 120 #140 SOUTHLAKE TX TEXAS 76092 Executive Officer Director Todd Behringer C/O PREDICTIVE FITNESS, INC. 2600 E. SOUTHLAKE BLVD., STE. 120 #140 SOUTHLAKE TX TEXAS 76092 Director Paul Wiley C/O PREDICTIVE FITNESS, INC. 2600 E. SOUTHLAKE BLVD., STE. 120 #140 SOUTHLAKE TX TEXAS 76092 Director Other Technology Decline to Disclose 06b false 2021-04-20 false true false 0 2000000 1515000 485000 false 9 0 0 0 false Predictive Fitness, Inc. /s/ Jeff Booher Jeff Booher Chief Executive Officer 2021-05-05