0001855344-24-000002.txt : 20240502 0001855344-24-000002.hdr.sgml : 20240502 20240502164346 ACCESSION NUMBER: 0001855344-24-000002 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20240502 DATE AS OF CHANGE: 20240502 EFFECTIVENESS DATE: 20240502 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Custom Health, Inc. CENTRAL INDEX KEY: 0001855344 ORGANIZATION NAME: IRS NUMBER: 821603261 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-512260 FILM NUMBER: 24909239 BUSINESS ADDRESS: STREET 1: 8605 SANTA MONICA BLVD PMB 64914 CITY: WEST HOLLYWOOD STATE: CA ZIP: 90069 BUSINESS PHONE: 312-953-9230 MAIL ADDRESS: STREET 1: 8605 SANTA MONICA BLVD PMB 64914 CITY: WEST HOLLYWOOD STATE: CA ZIP: 90069 FORMER COMPANY: FORMER CONFORMED NAME: PACK4U INC DATE OF NAME CHANGE: 20210405 D 1 primary_doc.xml X0708 D LIVE 0001855344 Custom Health, Inc. 8605 Santa Monica Blvd PMB 64914 West Hollywood CA CALIFORNIA 90069 312-953-9230 DELAWARE PACK4U INC Corporation true Rahul Chopra 8605 Santa Monica Blvd PMB 64914 West Hollywood CA CALIFORNIA 90069 Executive Officer Director Shane Bishop 8605 Santa Monica Blvd PMB 64914 West Hollywood CA CALIFORNIA 90069 Executive Officer Director Kendra Blackford 8605 Santa Monica Blvd PMB 64914 West Hollywood CA CALIFORNIA 90069 Director Patrick Quinlan 8605 Santa Monica Blvd PMB 64914 West Hollywood CA CALIFORNIA 90069 Director Terry Bayer 8605 Santa Monica Blvd PMB 64914 West Hollywood CA CALIFORNIA 90069 Director Other Decline to Disclose 06b false 2024-04-22 false true false 0 15000000 3500000 11500000 false 1 0 0 0 false Custom Health, Inc. /s/Shane Bishop Shane Bishop Chief Executive Officer 2024-05-02