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Form C: Filer Information

Filer CIK:
0002100860 
Filer CCC:
XXXXXXXX 
Period:

12-31-2025 

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Submission Contact Information

Name:
 
Phone Number:
 
Contact E-Mail Address:
 
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Form C: Issuer Information

Issuer Information

Name of Issuer:

Sambrosa Care, Inc. 

Legal Status of Issuer:

Form:

Corporation 

Jurisdiction of Incorporation/Organization:

DELAWARE  

Date of Incorporation/Organization:

08-13-2013 

Physical Address of Issuer:

Address 1:

9171 WILSHIRE BLVD 

City:

BEVERLY HILLS 

State/Country:

CALIFORNIA  

Mailing Zip/Postal Code:

90210 

Website of Issuer:

www.sambrosa.com 

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Form C: Annual Report Disclosure Requirements

Annual Report Disclosure Requirements

Current Number of Employees:

3.00 

Total Assets Most Recent Fiscal Year-end:

77217.00 

Total Assets Prior Fiscal Year-end:

93662.00 

Cash and Cash Equivalents Most Recent Fiscal Year-end:

30989.99 

Cash and Cash Equivalents Prior Fiscal Year-end:

15853.00 

Accounts Receivable Most Recent Fiscal Year-end:

0.00 

Accounts Receivable Prior Fiscal Year-end:

0.00 

Short-term Debt Most Recent Fiscal Year-end:

0.00 

Short-term Debt Prior Fiscal Year-end:

0.00 

Long-term Debt Most Recent Fiscal Year-end:

3074954.00 

Long-term Debt Prior Fiscal Year-end:

2765468.00 

Revenue/Sales Most Recent Fiscal Year-end:

489479.00 

Revenue/Sales Prior Fiscal Year-end:

203591.00 

Cost of Goods Sold Most Recent Fiscal Year-end:

136692.00 

Cost of Goods Sold Prior Fiscal Year-end:

50137.00 

Taxes Paid Most Recent Fiscal Year-end:

1600.00 

Taxes Paid Prior Fiscal Year-end:

1156.00 

Net Income Most Recent Fiscal Year-end:

-454701.00 

Net Income Prior Fiscal Year-end:

-2691293.00 

Form C: Signature

Signature

Pursuant to the requirements of Sections 4(a)(6) and 4A of the Securities Act of 1933 and Regulation Crowdfunding (§ 227.100-503), the issuer certifies that it has reasonable grounds to believe that it meets all of the requirements for filing on Form C and has duly caused this Form to be signed on its behalf by the duly authorized undersigned.

Issuer:

Sambrosa Care, Inc. 

Signature:

John Van Hierden 

Title:

Principal Executive Officer, Principal Financial and Accounting Officer and Sole Director 

Pursuant to the requirements of Sections 4(a)(6) and 4A of the Securities Act of 1933 and Regulation Crowdfunding (§ 227.100-503), this Form C has been signed by the following persons in the capacities and on the dates indicated.

Signature:

John Van Hierden 

Title:

Principal Executive Officer, Principal Financial and Accounting Officer and Sole Director 

Date:

04-28-2026