0001733914-22-000001.txt : 20220119 0001733914-22-000001.hdr.sgml : 20220119 20220119155006 ACCESSION NUMBER: 0001733914-22-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20220119 DATE AS OF CHANGE: 20220119 EFFECTIVENESS DATE: 20220119 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Lyra Health, Inc. CENTRAL INDEX KEY: 0001733914 IRS NUMBER: 472935915 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-429972 FILM NUMBER: 22538602 BUSINESS ADDRESS: STREET 1: 287 LORTON AVENUE CITY: BURLINGAME STATE: CA ZIP: 94010 BUSINESS PHONE: (800)505-5972 MAIL ADDRESS: STREET 1: 287 LORTON AVENUE CITY: BURLINGAME STATE: CA ZIP: 94010 D 1 primary_doc.xml X0708 D LIVE 0001733914 Lyra Health, Inc. 287 LORTON AVENUE BURLINGAME CA CALIFORNIA 94010 (800)505-5972 DELAWARE None None Corporation true David Ebersman 287 Lorton Avenue Burlingame CA CALIFORNIA 94010 Executive Officer Director Bryan Roberts 287 Lorton Avenue Burlingame CA CALIFORNIA 94010 Director Bob Kocher 287 Lorton Avenue Burlingame CA CALIFORNIA 94010 Director James Slavet 287 Lorton Avenue Burlingame CA CALIFORNIA 94010 Director Somesh Dash 287 Lorton Avenue Burlingame CA CALIFORNIA 94010 Director Kerry Chandler 287 Lorton Avenue Burlingame CA CALIFORNIA 94010 Director Elaine Yang 287 Lorton Avenue Burlingame CA CALIFORNIA 94010 Executive Officer Danielle Gray 287 Lorton Avenue Burlingame CA CALIFORNIA 94010 Director Robynne Sisco 287 Lorton Avenue Burlingame CA CALIFORNIA 94010 Director Hubert Lin 287 Lorton Avenue Burlingame CA CALIFORNIA 94010 Executive Officer Lisa Caccavo 287 Lorton Avenue Burlingame CA CALIFORNIA 94010 Executive Officer Other Decline to Disclose 06b false 2022-01-07 false true false 0 234999956 234999956 0 false 4 0 0 0 false Lyra Health, Inc. /s/ Lisa Caccavo Lisa Caccavo General Counsel and Assistant Secretary 2022-01-19