0001965792-23-000001.txt : 20230403 0001965792-23-000001.hdr.sgml : 20230403 20230403165413 ACCESSION NUMBER: 0001965792-23-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20230403 DATE AS OF CHANGE: 20230403 EFFECTIVENESS DATE: 20230403 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Foutain Health Insurance Inc. CENTRAL INDEX KEY: 0001965792 IRS NUMBER: 863925012 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-477779 FILM NUMBER: 23793568 BUSINESS ADDRESS: STREET 1: 9132 STRADA PLACE STREET 2: SUITE 200 CITY: NAPLES STATE: FL ZIP: 34108 BUSINESS PHONE: 3104821301 MAIL ADDRESS: STREET 1: 9132 STRADA PLACE STREET 2: SUITE 200 CITY: NAPLES STATE: FL ZIP: 34108 D 1 primary_doc.xml X0708 D LIVE 0001965792 Foutain Health Insurance Inc. 9132 STRADA PLACE SUITE 200 NAPLES FL FLORIDA 34108 3104821301 DELAWARE None None Corporation true 2021 William Kapp 9132 Strada Place Suite 200 Naples FL FLORIDA 34108 Director Robert Rossiter 9132 Strada Place Suite 200 Naples FL FLORIDA 34108 Director Shawn Buchheit 9132 Strada Place Suite 200 Naples FL FLORIDA 34108 Director Tobin Geatz 9132 Strada Place Suite 200 Naples FL FLORIDA 34108 Director Peter Diamandis 9132 Strada Place Suite 200 Naples FL FLORIDA 34108 Director Health Insurance Decline to Disclose 06b false 2022-11-01 false true false 100000 15000000 15000000 0 false 0 0 0 0 false Foutain Health Insurance Inc. J. Tobin Geatz J. Tobin Gaetz Director 2023-04-03