0001803825-22-000001.txt : 20220408 0001803825-22-000001.hdr.sgml : 20220408 20220408150955 ACCESSION NUMBER: 0001803825-22-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20220408 DATE AS OF CHANGE: 20220408 EFFECTIVENESS DATE: 20220408 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Surely Health, Inc. CENTRAL INDEX KEY: 0001803825 IRS NUMBER: 844046532 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-441125 FILM NUMBER: 22816700 BUSINESS ADDRESS: STREET 1: 335 MADISON AVENUE, 3RD FLOOR CITY: NEW YORK STATE: NY ZIP: 10017 BUSINESS PHONE: (619) 880-5532 MAIL ADDRESS: STREET 1: 335 MADISON AVENUE, 3RD FLOOR CITY: NEW YORK STATE: NY ZIP: 10017 D 1 primary_doc.xml X0708 D LIVE 0001803825 Surely Health, Inc. 1126 Salina St. Austin TX TEXAS 78702 (619) 880-5532 DELAWARE None None Corporation true 2019 Joshua Hix c/o Surely Health, Inc. 1126 Salina St. Austin TX TEXAS 78702 Executive Officer Director Mustafa Shabib c/o Surely Health, Inc. 1126 Salina St. Austin TX TEXAS 78702 Executive Officer Director Keith Figlioli c/o Surely Health, Inc. 1126 Salina St. Austin TX TEXAS 78702 Director John Bulger c/o Surely Health, Inc. 1126 Salina St. Austin TX TEXAS 78702 Director Julie Yoo c/o Surely Health, Inc. 1126 Salina St. Austin TX TEXAS 78702 Director Other Decline to Disclose 06b false 2022-03-24 false true false 0 26000000 25099985 900015 Amount excludes an additional 9,168,345.86 USD of convertible note principal and interest that has been converted into equity. false 7 0 0 0 false Surely Health, Inc. /s/ Joshua Hix Joshua Hix CEO 2022-04-08