0000892712-15-000656.txt : 20150625 0000892712-15-000656.hdr.sgml : 20150625 20150625121445 ACCESSION NUMBER: 0000892712-15-000656 CONFORMED SUBMISSION TYPE: D/A PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20150625 DATE AS OF CHANGE: 20150625 EFFECTIVENESS DATE: 20150625 FILER: COMPANY DATA: COMPANY CONFORMED NAME: ELLI HEALTH, INC. CENTRAL INDEX KEY: 0001604448 IRS NUMBER: 462598681 STATE OF INCORPORATION: WI FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D/A SEC ACT: 1933 Act SEC FILE NUMBER: 021-235043 FILM NUMBER: 15951119 BUSINESS ADDRESS: STREET 1: 20935 SWENSON DRIVE STREET 2: #350 CITY: WAUKESHA STATE: WI ZIP: 53186 BUSINESS PHONE: 262-378-0565 MAIL ADDRESS: STREET 1: 20935 SWENSON DRIVE STREET 2: #350 CITY: WAUKESHA STATE: WI ZIP: 53186 D/A 1 primary_doc.xml X0707 D/A LIVE 0001604448 ELLI HEALTH, INC. 20935 Swenson Drive #350 Waukesha WI WISCONSIN 53186 262-378-0565 WISCONSIN None None Corporation true 2013 Jay C. Mason 20935 Swenson Drive #350 Waukesha WI WISCONSIN 53186 Executive Officer Director Promoter Chief Executive Officer Liem N. Nguyen 20935 Swenson Drive #350 Waukesha WI WISCONSIN 53186 Promoter Mr. Nguyen assisted in the organization of the issuer but is no longer an officer or director. Jeff Miller 20935 Swenson Drive #350 Waukesha WI WISCONSIN 53186 Executive Officer Director Secretary and Chief Operating Officer J. Michael Eaton 20935 Swenson Drive #350 Waukesha WI WISCONSIN 53186 Director W. Drew Palin 20935 Swenson Drive #350 Waukesha WI WISCONSIN 53186 Executive Officer President John Matthews 20935 Swenson Drive #350 Waukesha WI WISCONSIN 53186 Director Other Technology Decline to Disclose 06b true 0000892712-15-000315 2015-02-18 false true true false 20000 1165792 1163801 1991 false 11 0 0 371250 Redemption of stock of founder no longer involved in business. false ELLI HEALTH, INC. /s/ Jay Mason Jay Mason Chief Executive Officer 2015-06-25