0000898432-24-000138.txt : 20240215 0000898432-24-000138.hdr.sgml : 20240215 20240215104706 ACCESSION NUMBER: 0000898432-24-000138 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20240215 DATE AS OF CHANGE: 20240215 EFFECTIVENESS DATE: 20240215 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Blackbird Health, Inc. CENTRAL INDEX KEY: 0002008682 ORGANIZATION NAME: IRS NUMBER: 873035628 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-505368 FILM NUMBER: 24642671 BUSINESS ADDRESS: STREET 1: 3706 BUTLER STREET CITY: PITTSBURGH STATE: PA ZIP: 15201 BUSINESS PHONE: 202-905-1021 MAIL ADDRESS: STREET 1: 3706 BUTLER STREET CITY: PITTSBURGH STATE: PA ZIP: 15201 D 1 primary_doc.xml X0708 D LIVE 0002008682 Blackbird Health, Inc. 3706 BUTLER STREET PITTSBURGH PA PENNSYLVANIA 15201 .484-202-0751 DELAWARE None None Corporation true 2021 Tom Peterson 3706 Butler Street Pittsburgh PA PENNSYLVANIA 15201 Executive Officer Director Amy Edgar 3706 Butler Street Pittsburgh PA PENNSYLVANIA 15201 Executive Officer Director Promoter Chirag Shah 58 West Portal Avenue Suite 258 San Francisco CA CALIFORNIA 94127 Director Other Decline to Disclose 06b false 2024-01-31 false true true true Includes conversion of debt into equity false 20000 22770022 22770022 0 false 27 0 0 275000 true false Blackbird Health, Inc. /s/ Tom Peterson Tom Peterson Chief Executive Officer 2024-02-15