0001973419-26-000002.txt : 20260611 0001973419-26-000002.hdr.sgml : 20260611 20260611104142 ACCESSION NUMBER: 0001973419-26-000002 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: Rule 506(b) provides a "safer harbor" for a private offering FILED AS OF DATE: 20260611 DATE AS OF CHANGE: 20260611 EFFECTIVENESS DATE: 20260611 FILER: COMPANY DATA: COMPANY CONFORMED NAME: 1104Health, Inc. CENTRAL INDEX KEY: 0001973419 ORGANIZATION NAME: EIN: 861432645 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-586999 FILM NUMBER: 261081785 BUSINESS ADDRESS: STREET 1: 5110 MANNING DRIVE CITY: BETHESDA STATE: MD ZIP: 20814 BUSINESS PHONE: 800-881-6113 MAIL ADDRESS: STREET 1: 5110 MANNING DRIVE CITY: BETHESDA STATE: MD ZIP: 20814 D 1 primary_doc.xml X0708 D LIVE 0001973419 1104Health, Inc. 5110 MANNING DRIVE BETHESDA MD MARYLAND 20814 800-881-6113 DELAWARE 1104Health, LLC None Corporation true Qun Rose Wang 5110 Manning Drive Bethesda MD MARYLAND 20814 Executive Officer Director Other Technology Decline to Disclose 06b false true false true true true true Simple Agreement for Future Equity (SAFE) false 0 Indefinite 0 Indefinite false 0 0 0 0 false 1104Health, Inc. /S/ QUN ROSE WANG Qun Rose Wang Chief Executive Officer 2026-06-11