0001785040-23-000001.txt : 20231229 0001785040-23-000001.hdr.sgml : 20231229 20231228180318 ACCESSION NUMBER: 0001785040-23-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20231229 DATE AS OF CHANGE: 20231228 EFFECTIVENESS DATE: 20231229 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Predictive Fitness, Inc. CENTRAL INDEX KEY: 0001785040 ORGANIZATION NAME: IRS NUMBER: 271404523 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-501067 FILM NUMBER: 231523680 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 2600 E. SOUTHLAKE BLVD., STE. 120 #140 SOUTHLAKE TX TEXAS 76092 Executive Officer Director Paul Wiley 2600 E. SOUTHLAKE BLVD., STE. 120 #140 SOUTHLAKE TX TEXAS 76092 Director Jonathan Harkless 2600 E. SOUTHLAKE BLVD., STE. 120 #140 SOUTHLAKE TX TEXAS 76092 Director Other Technology Decline to Disclose 06b false 2023-12-14 false true false 0 5000000 825000 4175000 false 8 0 0 0 false Predictive Fitness, Inc. /s/ Jeff Booher Jeff Booher Chief Executive Officer 2023-12-28