0002065124-25-000001.txt : 20250423
0002065124-25-000001.hdr.sgml : 20250423
20250423122319
ACCESSION NUMBER: 0002065124-25-000001
CONFORMED SUBMISSION TYPE: D
PUBLIC DOCUMENT COUNT: 1
ITEM INFORMATION: 06b
FILED AS OF DATE: 20250423
DATE AS OF CHANGE: 20250423
EFFECTIVENESS DATE: 20250423
FILER:
COMPANY DATA:
COMPANY CONFORMED NAME: Healthcare AI Automation, Inc.
CENTRAL INDEX KEY: 0002065124
ORGANIZATION NAME:
EIN: 994187949
STATE OF INCORPORATION: DE
FISCAL YEAR END: 0630
FILING VALUES:
FORM TYPE: D
SEC ACT: 1933 Act
SEC FILE NUMBER: 021-544294
FILM NUMBER: 25860287
BUSINESS ADDRESS:
STREET 1: 2261 MARKET STREET, SUITE 86099
CITY: SAN FRANCISCO
STATE: CA
ZIP: 94114
BUSINESS PHONE: 5555555555
MAIL ADDRESS:
STREET 1: 2261 MARKET STREET, SUITE 86099
CITY: SAN FRANCISCO
STATE: CA
ZIP: 94114
D
1
primary_doc.xml
X0708
D
LIVE
0002065124
Healthcare AI Automation, Inc.
2261 MARKET STREET, SUITE 86099
SAN FRANCISCO
CA
CALIFORNIA
94114
5555555555
DELAWARE
None
None
Corporation
true
2024
Justin
Mardjuki
2261 Market Street Suite 86099
San Francisco
CA
CALIFORNIA
94114
Executive Officer
Director
Andrew
Smith
2261 Market Street Suite 86099
San Francisco
CA
CALIFORNIA
94114
Director
Rick
Newell
2261 Market Street Suite 86099
San Francisco
CA
CALIFORNIA
94114
Director
Other
Decline to Disclose
- 06b
false
2025-04-02
false
true
false
0
2999997
2999997
0
Total amount sold includes conversion of convertible securities.
false
6
0
0
0
false
Healthcare AI Automation, Inc.
/s/ Justin Mardjuki
Justin Mardjuki
CEO
2025-04-23