0001569759-17-000001.txt : 20170703 0001569759-17-000001.hdr.sgml : 20170703 20170703121440 ACCESSION NUMBER: 0001569759-17-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20170703 DATE AS OF CHANGE: 20170703 EFFECTIVENESS DATE: 20170703 FILER: COMPANY DATA: COMPANY CONFORMED NAME: HEADSPACE, INC. CENTRAL INDEX KEY: 0001569759 IRS NUMBER: 461777570 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-289932 FILM NUMBER: 17944760 BUSINESS ADDRESS: STREET 1: ISLINGTON BUSINESS CENTRE STREET 2: 14-22 COLEMAN FIELDS CITY: LONDON STATE: X0 ZIP: N1 7AD BUSINESS PHONE: 512.454.7865 MAIL ADDRESS: STREET 1: ISLINGTON BUSINESS CENTRE STREET 2: 14-22 COLEMAN FIELDS CITY: LONDON STATE: X0 ZIP: N1 7AD D 1 primary_doc.xml X0707 D LIVE 0001569759 HEADSPACE, INC. 2415 Michigan Avenue Santa Monica CA CALIFORNIA 90404 310-526-4494 DELAWARE None None Corporation true 2013 Richard Marsh Pierson 2415 Michigan Avenue Santa Monica CA CALIFORNIA 90404 Executive Officer Director Chief Executive Officer Andrew David Puddicombe 2415 Michigan Avenue Santa Monica CA CALIFORNIA 90404 Executive Officer Director Sean Brecker 2415 Michigan Avenue Santa Monica CA CALIFORNIA 90404 Executive Officer Director Chief Financial Officer Other Health Care Decline to Disclose 06b false 2017-06-23 false true true Series B Preferred Stock false 0 36646435 36646435 0 false 1 0 0 0 false HEADSPACE, INC. /s/ Sean Brecker Sean Brecker Chief Financial Officer 2017-07-03