0002129418-26-000001.txt : 20260424 0002129418-26-000001.hdr.sgml : 20260424 20260423181637 ACCESSION NUMBER: 0002129418-26-000001 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: 20260424 DATE AS OF CHANGE: 20260423 EFFECTIVENESS DATE: 20260424 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Promptiva Health Inc. CENTRAL INDEX KEY: 0002129418 ORGANIZATION NAME: EIN: 393321702 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-581701 FILM NUMBER: 26889995 BUSINESS ADDRESS: STREET 1: 455 MARKET STREET SUITE 1940 UNIT 661762 CITY: SAN FRANCISCO STATE: CA ZIP: 94105 BUSINESS PHONE: 916-282-9121 MAIL ADDRESS: STREET 1: 455 MARKET STREET SUITE 1940 UNIT 661762 CITY: SAN FRANCISCO STATE: CA ZIP: 94105 D 1 primary_doc.xml X0708 D LIVE 0002129418 Promptiva Health Inc. 455 MARKET STREET SUITE 1940 UNIT 661762 SAN FRANCISCO CA CALIFORNIA 94105 916-282-9121 DELAWARE None None Corporation true 2025 Mark Fenton Moeller 455 Market Street Suite 1940 Unit 661762 San Francisco CA CALIFORNIA 94105 Executive Officer Director William Alexander Goolsby 455 Market Street Suite 1940 Unit 661762 San Francisco CA CALIFORNIA 94105 Director Anna Wetherbee 455 Market Street Suite 1940 Unit 661762 San Francisco CA CALIFORNIA 94105 Executive Officer Director Other Technology No Revenues 06b false 2026-02-12 false true Simple Agreement for Future Equity (SAFE) false 0 650000 539700 110300 false 8 0 0 0 false Promptiva Health Inc. Mark F. Moeller Mark F. Moeller President 2026-04-23