0001866217-22-000002.txt : 20220906 0001866217-22-000002.hdr.sgml : 20220906 20220906171308 ACCESSION NUMBER: 0001866217-22-000002 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20220906 DATE AS OF CHANGE: 20220906 EFFECTIVENESS DATE: 20220906 FILER: COMPANY DATA: COMPANY CONFORMED NAME: KSANA HEALTH INC. CENTRAL INDEX KEY: 0001866217 IRS NUMBER: 842166036 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-458092 FILM NUMBER: 221229045 BUSINESS ADDRESS: STREET 1: 2288 ALDER STREET CITY: EUGENE STATE: OR ZIP: 97405 BUSINESS PHONE: 541-515-9158 MAIL ADDRESS: STREET 1: 2288 ALDER STREET CITY: EUGENE STATE: OR ZIP: 97405 D 1 primary_doc.xml X0708 D LIVE 0001866217 KSANA HEALTH INC. 2288 ALDER STREET EUGENE OR OREGON 97405 541-515-9158 DELAWARE None None Corporation true 2019 Nicholas Allen 2288 Alder Street Eugene OR OREGON 97405 Executive Officer Director Chief Executive Officer William Shortt 2288 Alder Street Eugene OR OREGON 97405 Executive Officer Director Chief Operating Officer Phillip Scripa 2288 Alder Street Eugene OR OREGON 97405 Executive Officer Chief Financial Officer and Secretary Jan Hardorp 2288 Alder Street Eugene OR OREGON 97405 Director Other Technology Decline to Disclose 06b false 2022-08-22 false true true Sale and issuance of Series Seed-4 Preferred Stok and the underlying shares of Common Stock issuable upon conversion thereof false 0 2500000 1226997 1273003 false 4 0 0 0 false KSANA HEALTH INC. /s/ Nicholas Allen Nicholas Allen Chief Executive Officer 2022-09-06