0001935754-22-000001.txt : 20220629 0001935754-22-000001.hdr.sgml : 20220629 20220628204004 ACCESSION NUMBER: 0001935754-22-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20220629 DATE AS OF CHANGE: 20220628 EFFECTIVENESS DATE: 20220629 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Superbill, Inc. CENTRAL INDEX KEY: 0001935754 IRS NUMBER: 871039378 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-450574 FILM NUMBER: 221051531 BUSINESS ADDRESS: STREET 1: 580 CALIFORNIA STREET, SUITE 1200 CITY: SAN FRANCISCO STATE: CA ZIP: 94104 BUSINESS PHONE: 415-779-2540 MAIL ADDRESS: STREET 1: 580 CALIFORNIA STREET, SUITE 1200 CITY: SAN FRANCISCO STATE: CA ZIP: 94104 D 1 primary_doc.xml X0708 D LIVE 0001935754 Superbill, Inc. 580 CALIFORNIA STREET, SUITE 1200 SAN FRANCISCO CA CALIFORNIA 94104 415-779-2540 DELAWARE Haven Health, Inc. None Corporation true 2021 Samuel Roland Schwager 580 California Street, Suite 1200 San Francisco CA CALIFORNIA 94104 Executive Officer Director Harrison DeWitt Caruthers 580 California Street, Suite 1200 San Francisco CA CALIFORNIA 94104 Executive Officer Director Other Decline to Disclose 06b false 2022-06-13 false true false 0 4156466 4156466 0 false 13 0 0 0 false Superbill, Inc. /s/ Samuel Roland Schwager Samuel Roland Schwager Chief Executive Officer 2022-06-28