Form Health
Boston, US · Founded 2019 · Delaware corporation · 5 known investors
Healthtechin /form-health
Founders & leadership
LP
Latif PerachaDirector
JB
Juliette BoleaDirector
ER
Evan RichardsonExecutive Officer, Director, Promoter
Investors · 5
Reported raises · per SEC filings
Form D private placements▶$43MraisedApr 2025 · 10 investors · Other TechnologyRule 506(b)
▶$43MraisedApr 2025 · 10 investors · Other Technology
Rule 506(b)Officers, directors & promoters on the filing
- Latif PerachaDirector
- Evan RichardsonExecutive Officer, Director, Promoter
- Juliette BoleaDirector
- Offering amount
- $43M
- Amount sold
- $43M
- First sale
- Jun 2024
- Incorporated
- Corporation, Delaware
- Federal exemptions
- 06b
▶$6.7MraisedNov 2023 · 3 investors · Other TechnologyRule 506(b)
▶$6.7MraisedNov 2023 · 3 investors · Other Technology
Rule 506(b)Officers, directors & promoters on the filing
- Evan RichardsonExecutive Officer, Director, Promoter
- Latif PerachaDirector
- Offering amount
- $8M
- Amount sold
- $6.7M
- First sale
- Oct 2023
- Incorporated
- Corporation, Delaware, 2019
- Federal exemptions
- 06b
▶$22.9MraisedJan 2023 · 12 investors · Other TechnologyRule 506(b)
▶$22.9MraisedJan 2023 · 12 investors · Other Technology
Rule 506(b)Officers, directors & promoters on the filing
- Evan RichardsonExecutive Officer, Director, Promoter
- Latif PerachaDirector
- Offering amount
- $23.9M
- Amount sold
- $22.9M
- Proceeds to insiders
- $200K
- First sale
- Apr 2021
- Incorporated
- Corporation, Delaware, 2019
- Federal exemptions
- 06b
▶$3.4MraisedJun 2019 · 9 investors · Other Health CareRule 506(b)
▶$3.4MraisedJun 2019 · 9 investors · Other Health Care
Rule 506(b)Officers, directors & promoters on the filing
- Evan RichardsonExecutive Officer, Director, Promoter
- Offering amount
- $3.6M
- Amount sold
- $3.4M
- First sale
- May 2019
- Incorporated
- Corporation, Delaware, 2019
- Federal exemptions
- 06b
Source: SEC EDGAR Form D. Amounts as filed; amended filings shown once at their latest values.