0001789714-19-000001.txt : 20191018 0001789714-19-000001.hdr.sgml : 20191018 20191017180334 ACCESSION NUMBER: 0001789714-19-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20191018 DATE AS OF CHANGE: 20191017 EFFECTIVENESS DATE: 20191018 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Behave Health Corp. CENTRAL INDEX KEY: 0001789714 IRS NUMBER: 473410313 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-351337 FILM NUMBER: 191156312 BUSINESS ADDRESS: STREET 1: 135 MAIN STREET STREET 2: SUITE 1140 CITY: SAN FRANCISCO STATE: CA ZIP: 94105 BUSINESS PHONE: 650-338-4113 MAIL ADDRESS: STREET 1: 135 MAIN STREET STREET 2: SUITE 1140 CITY: SAN FRANCISCO STATE: CA ZIP: 94105 D 1 primary_doc.xml X0708 D LIVE 0001789714 Behave Health Corp. 135 MAIN STREET SUITE 1140 SAN FRANCISCO CA CALIFORNIA 94105 650-338-4113 DELAWARE None None Corporation true 2015 Benjamin Weiss 135 Main Street Suite 1140 San Francisco CA CALIFORNIA 94105 Executive Officer Director Roy Bukstein 135 Main Street Suite 1140 San Francisco CA CALIFORNIA 94105 Executive Officer Director Other Health Care Decline to Disclose 06b false 2019-10-16 false true false 0 4432258 4432258 0 false 17 0 0 150000 The amount of the gross proceeds that will be used to compensate executive officers will vary, among other things, based upon the revenues earned by the Issuer's business. false Behave Health Corp. /s/ Benjamin Weiss Benjamin Weiss Chief Executive Officer 2019-10-16