0001874698-25-000001.txt : 20250611 0001874698-25-000001.hdr.sgml : 20250611 20250611105806 ACCESSION NUMBER: 0001874698-25-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20250611 DATE AS OF CHANGE: 20250611 EFFECTIVENESS DATE: 20250611 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Hazel Health, Inc. CENTRAL INDEX KEY: 0001814186 ORGANIZATION NAME: EIN: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-548609 FILM NUMBER: 251039227 BUSINESS ADDRESS: STREET 1: 8300 ESTERS BLVD., SUITE 900 CITY: IRVING STATE: TX ZIP: 75063 BUSINESS PHONE: (415) 424-4266 MAIL ADDRESS: STREET 1: 8300 ESTERS BLVD., SUITE 900 CITY: IRVING STATE: TX ZIP: 75063 D 1 primary_doc.xml X0708 D LIVE 0001814186 Hazel Health, Inc. 8300 Esters Blvd., Suite 900 Irving TX TEXAS 75063 (415) 424-4266 DELAWARE None None Corporation true Iyah Romm 8300 Esters Blvd., Suite 900 Irving TX TEXAS 75063 Executive Officer Director Jeffrey Sinko 8300 Esters Blvd., Suite 900 Irving TX TEXAS 75063 Executive Officer Abigail Andrews Flinn 8300 Esters Blvd., Suite 900 Irving TX TEXAS 75063 Executive Officer Michael Krupka 8300 Esters Blvd., Suite 900 Irving TX TEXAS 75063 Director Jeannie Chen 8300 Esters Blvd., Suite 900 Irving TX TEXAS 75063 Director Joshua Golomb 8300 Esters Blvd., Suite 900 Irving TX TEXAS 75063 Director Tory Patterson 8300 Esters Blvd., Suite 900 Irving TX TEXAS 75063 Director Mary Ann Christopher 8300 Esters Blvd., Suite 900 Irving TX TEXAS 75063 Director Jeremy Delinsky 8300 Esters Blvd., Suite 900 Irving TX TEXAS 75063 Director Other Technology Decline to Disclose 06b false 2020-05-20 false true false 0 34499989 34499989 0 false 10 0 0 0 false Hazel Health, Inc. /s/ Jeffrey Sinko Jeffrey Sinko Secretary 2025-06-10