0001947992-23-000003.txt : 20230830 0001947992-23-000003.hdr.sgml : 20230830 20230830120902 ACCESSION NUMBER: 0001947992-23-000003 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20230830 DATE AS OF CHANGE: 20230830 EFFECTIVENESS DATE: 20230830 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Lifeverse Holdings Inc CENTRAL INDEX KEY: 0001947992 IRS NUMBER: 920343465 STATE OF INCORPORATION: WY FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-491000 FILM NUMBER: 231224281 BUSINESS ADDRESS: STREET 1: 30 N GOULD STREET, SUITE R CITY: SHERIDAN STATE: WY ZIP: 82801 BUSINESS PHONE: 5038025533 MAIL ADDRESS: STREET 1: 30 N GOULD STREET, SUITE R CITY: SHERIDAN STATE: WY ZIP: 82801 FORMER COMPANY: FORMER CONFORMED NAME: J17 Corp DATE OF NAME CHANGE: 20220923 D 1 primary_doc.xml X0708 D LIVE 0001947992 Lifeverse Holdings Inc 30 N GOULD STREET, SUITE R SHERIDAN WY WYOMING 82801 760-822-8057 WYOMING J17 Corp Corporation true 2022 Jeremy Lamont 30 N Gould St Ste R Sheridan WY WYOMING 82801 Executive Officer Director Promoter Stu Fuhlendorf 30 N Gould St Ste R Sheridan WY WYOMING 82801 Executive Officer Director Promoter Jim Jensen 30 N Gould St Ste R Sheridan WY WYOMING 82801 Director Other Technology Decline to Disclose 06b false true false true Convertible note false 50000 10000000 0 10000000 false 0 0 0 1029583 true false Lifeverse Holdings Inc Matt Shea Matt Shea POA for Jeremy Lamont, CEO 2023-08-30