0002129418-26-000002.txt : 20261030 0002129418-26-000002.hdr.sgml : 20261030 20261030162132 ACCESSION NUMBER: 0002129418-26-000002 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: 20261030 DATE AS OF CHANGE: 20261030 EFFECTIVENESS DATE: 20261030 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: 021-603157 FILM NUMBER: 261508329 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 true false true Simple Agreement for Future Equity (SAFE) false 0 2150000 0 2150000 false 0 0 0 0 false Promptiva Health Inc. Mark Moeller Mark Moeller President 2026-10-30