0001796279-19-000001.txt : 20191211 0001796279-19-000001.hdr.sgml : 20191211 20191211105425 ACCESSION NUMBER: 0001796279-19-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06c FILED AS OF DATE: 20191211 DATE AS OF CHANGE: 20191211 EFFECTIVENESS DATE: 20191211 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Wellin5 USA, Inc. CENTRAL INDEX KEY: 0001796279 IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-355251 FILM NUMBER: 191279226 BUSINESS ADDRESS: STREET 1: THE URBAN HIVE STREET 2: 1601 ALHAMBRA BLVD. CITY: SACRAMENTO STATE: CA ZIP: 95816 BUSINESS PHONE: 604-700-296 MAIL ADDRESS: STREET 1: THE URBAN HIVE STREET 2: 1601 ALHAMBRA BLVD. CITY: SACRAMENTO STATE: CA ZIP: 95816 D 1 primary_doc.xml X0708 D LIVE 0001796279 Wellin5 USA, Inc. THE URBAN HIVE 1601 ALHAMBRA BLVD. SACRAMENTO CA CALIFORNIA 95816 604-700-296 DELAWARE None None Corporation true 2019 William Masih C/O The Urban Hive 1601 Alhambra Blvd Sacramento CA CALIFORNIA 95816 Executive Officer Other Decline to Disclose 06c false true false true Simple Agreement For Future Equity false 0 1000000 0 1000000 false 0 0 0 0 false Wellin5 USA, Inc. /s/ William Masih William Masih CEO 2019-12-11