0001985701-23-000001.txt : 20230724 0001985701-23-000001.hdr.sgml : 20230724 20230724145724 ACCESSION NUMBER: 0001985701-23-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20230724 DATE AS OF CHANGE: 20230724 EFFECTIVENESS DATE: 20230724 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Bloom Health, PBC CENTRAL INDEX KEY: 0001985701 IRS NUMBER: 931427923 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-487690 FILM NUMBER: 231104817 BUSINESS ADDRESS: STREET 1: 818 19TH AVE. S. APT. 1418 CITY: NASHVILLE STATE: TN ZIP: 37203 BUSINESS PHONE: 570-573-4390 MAIL ADDRESS: STREET 1: 818 19TH AVE. S. APT. 1418 CITY: NASHVILLE STATE: TN ZIP: 37203 D 1 primary_doc.xml X0708 D LIVE 0001985701 Bloom Health, PBC 818 19TH AVE. S. APT. 1418 NASHVILLE TN TENNESSEE 37203 570-573-4390 DELAWARE None None Corporation true 2023 Julia Schuller 818 19TH AVE. S. APT. 1418 Nashville TN TENNESSEE 37203 Executive Officer Director Danielle Miller 818 19TH AVE. S. APT. 1418 Nashville TN TENNESSEE 37203 Executive Officer Director Other Health Care Decline to Disclose 06b false 2023-07-10 false true false 0 Indefinite 120000 Indefinite false 2 0 0 75000 Approximately $75,000 will be used for executive compensation. false Bloom Health, PBC Julia Schuller Julia Schuller Chief Executive Officer 2023-07-24