FORM HEALTH, INC.
Profile
Company Names
FORM HEALTH, INC.
OCCOM MEDICAL WEIGHT LOSS, INC.
Addresses
109 STATE STREET, 5TH FLOOR, BOSTON, MA 02109
17 LINCOLN STREET #404, BOSTON, MA 02111
179 LINCOLN STREET, 4TH FLOOR, BOSTON, MA 02111
4 BRADFORD ROAD, NEWTON, MA 02461
Phone Numbers
(617) 901-3644
6179013644
Entity Type:
CORPORATION
Industry:
OTHER TECHNOLOGY, OTHER HEALTH CARE
Year Incorporated:
2019
State Incorporated:
DELAWARE
Total Amount Raised:
$76,004,572.00
Number of Funding Rounds:
4
Investment Rounds
Round #
Round Open Date
Amount Raised
Total Round Size
Amount Remaining to be Raised
Securities
4
2024-06-12
$42,985,000.00
$42,985,000.00
$0.00
Equity
3
2023-10-24
$6,700,000.00
$8,000,000.00
$1,300,000.00
2
2021-04-13
$22,884,578.00
$23,859,597.00
$975,019.00
Equity
1
2019-05-24
$3,434,994.00
$3,600,000.00
$165,006.00
Equity
People
First Name
Middle Name
Last Name
Titles
Related Companies
LATIF
PERACHA
DIRECTOR
EVAN
RICHARDSON
EXECUTIVE OFFICER, DIRECTOR, PROMOTER
Filings
Filing Date
Filing Type
Source URL
Industry Classifier
Detailed Industry
Revenue Range
Securities
First Sale Date
Brokers
Broker Dealer
Broker CRD#
Recipient Name
Recipient CRD#
