0001724373-17-000001.txt : 20171212 0001724373-17-000001.hdr.sgml : 20171212 20171212134855 ACCESSION NUMBER: 0001724373-17-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20171212 DATE AS OF CHANGE: 20171212 EFFECTIVENESS DATE: 20171212 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Ellipsis Health, Inc. CENTRAL INDEX KEY: 0001724373 IRS NUMBER: 464194003 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-300516 FILM NUMBER: 171251448 BUSINESS ADDRESS: STREET 1: 535 MISSION ST, 25TH FLOOR CITY: SAN FRANCISCO STATE: CA ZIP: 94105 BUSINESS PHONE: 415-328-7657 MAIL ADDRESS: STREET 1: 535 MISSION ST, 25TH FLOOR CITY: SAN FRANCISCO STATE: CA ZIP: 94105 D 1 primary_doc.xml X0708 D LIVE 0001724373 Ellipsis Health, Inc. 535 MISSION ST, 25TH FLOOR SAN FRANCISCO CA CALIFORNIA 94105 415-328-7657 DELAWARE None None Corporation true 2013 Mainul Islam c/o Ellipsis Health, Inc. 535 Mission St, 25th Fl San Francisco CA CALIFORNIA 94105 Executive Officer Director Marie Hurabiell c/o Ellipsis Health, Inc. 535 Mission St, 25th Fl San Francisco CA CALIFORNIA 94105 Director Mike Aratow c/o Ellipsis Health, Inc. 535 Mission St, 25th Fl San Francisco CA CALIFORNIA 94105 Director Other Technology Decline to Disclose 06b false 2017-11-28 false true false 0 4021105 4021105 0 Total amount sold includes the conversion of notes previously issued. false 15 0 0 0 false Ellipsis Health, Inc. /s/ Mainul Islam Mainul Islam CEO 2017-12-12