0001808242-21-000001.txt : 20210330 0001808242-21-000001.hdr.sgml : 20210330 20210330102141 ACCESSION NUMBER: 0001808242-21-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20210330 DATE AS OF CHANGE: 20210330 EFFECTIVENESS DATE: 20210330 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Reciprocity Health, Inc. CENTRAL INDEX KEY: 0001808242 IRS NUMBER: 844526249 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-393968 FILM NUMBER: 21784244 BUSINESS ADDRESS: STREET 1: 406 HILLSIDE ROAD CITY: WILMINGTON STATE: DE ZIP: 19807 BUSINESS PHONE: 1-833-732-4584 MAIL ADDRESS: STREET 1: 406 HILLSIDE ROAD CITY: WILMINGTON STATE: DE ZIP: 19807 FORMER COMPANY: FORMER CONFORMED NAME: Reciprocity Health, LLC DATE OF NAME CHANGE: 20200401 D 1 primary_doc.xml X0708 D LIVE 0001808242 Reciprocity Health, Inc. 406 HILLSIDE ROAD WILMINGTON DE DELAWARE 19807 1-833-732-4584 DELAWARE Reciprocity Health, LLC Corporation true 2020 Matthew Banford Swanson 406 Hillside Road Wilmington DE DELAWARE 19807 Executive Officer Director President & Chief Executive Officer Jonathan Lee Silvon 8 Guyenne Road Wilmington DE DELAWARE 19807 Executive Officer Director Chief Operating Officer, Treasurer, & Secretary Other Health Care Decline to Disclose 06b false 2021-03-16 false true true true true true Convertible Promissory Notes: Preferred and Common Stock underlying the Notes. false 25000 810000 545400 264600 The Total Offering Amount includes the accrued interest on the convertible promissory notes which will be converted into the equity securities of the Issuer. false 11 0 0 0 false Reciprocity Health, Inc. Jonathan Lee Silvon Jonathan Lee Silvon COO, Treasurer, & Secretary 2021-03-30