0001961758-24-000001.txt : 20241125 0001961758-24-000001.hdr.sgml : 20241125 20241122174142 ACCESSION NUMBER: 0001961758-24-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20241125 DATE AS OF CHANGE: 20241122 EFFECTIVENESS DATE: 20241125 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Florence Health Inc CENTRAL INDEX KEY: 0001961758 ORGANIZATION NAME: IRS NUMBER: 830515163 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-530310 FILM NUMBER: 241491129 BUSINESS ADDRESS: STREET 1: 1112 RHODE ISLAND STREET CITY: SAN FRANCISCO STATE: CA ZIP: 94107 BUSINESS PHONE: 650.863.2594 MAIL ADDRESS: STREET 1: 1112 RHODE ISLAND STREET CITY: SAN FRANCISCO STATE: CA ZIP: 94107 D 1 primary_doc.xml X0708 D LIVE 0001961758 Florence Health Inc 1112 Rhode Island St. SAN FRANCISCO CA CALIFORNIA 94107 650-642-1843 DELAWARE None None Corporation true Tamara AL-Yassin 1112 Rhode Island St. San Francisco CA CALIFORNIA 94107 Executive Officer Director Hannah Berns 1112 Rhode Island St. San Francisco CA CALIFORNIA 94107 Executive Officer Dave Kerpen 1112 Rhode Island St. San Francisco CA CALIFORNIA 94107 Director Howard Balloch 1112 Rhode Island St. San Francisco CA CALIFORNIA 94107 Director Barbara Schoenfeld 1112 Rhode Island St. San Francisco CA CALIFORNIA 94107 Director Michael Bator 1112 Rhode Island St. San Francisco CA CALIFORNIA 94107 Director Laura Benson 1112 Rhode Island St. San Francisco CA CALIFORNIA 94107 Director Other Health Care Decline to Disclose 06b false 2024-11-08 false true true false 0 1000000 425000 575000 In connection with the sale of $425,000 of Series A-3 Preferred Stock, the Issuer issued warrants for up to 1,062,500 shares of Series A-3 Preferred Stock. false 13 0 0 0 false Florence Health Inc /s/ Tamara AL-Yassin Tamara AL-Yassin CEO 2024-11-22