# EDGAR Filing Document

**Accession Number:** 0002100860
**File Stem:** 0002100860-26-000004
**Filing Date:** 2026-5
**Character Count:** 4480
**Document Hash:** c7bea3eb4572a6d993d8d837e61a066f
**Contains OCR:** False
**Source Format:** 

## Filing Content

## Filing Summary
**0002100860-26-000004.hdr.sgml**: 20260501

**ACCESSION NUMBER**: 0002100860-26-000004

**CONFORMED SUBMISSION TYPE**: C-U

**PUBLIC DOCUMENT COUNT**: 1

**FILED AS OF DATE**: 20260501

**DATE AS OF CHANGE**: 20260430

**FILER**: 

**COMPANY DATA:**
- **COMPANY CONFORMED NAME:** Sambrosa Care, Inc.
- **CENTRAL INDEX KEY:** 0002100860

**ORGANIZATION NAME:**
- **EIN:** 320434560
- **STATE OF INCORPORATION:** DE
- **FISCAL YEAR END:** 1231

**FILING VALUES:**
- **FORM TYPE:** C-U
- **SEC ACT:** 1933 Act
- **SEC FILE NUMBER:** 020-36680
- **FILM NUMBER:** 26927868

**BUSINESS ADDRESS:**
- **STREET 1:** 9171 WILSHIRE BLVD
- **CITY:** BEVERLY HILLS
- **STATE:** CA
- **ZIP:** 90210
- **BUSINESS PHONE:** 4033154508

**MAIL ADDRESS:**
- **STREET 1:** 9171 WILSHIRE BLVD
- **CITY:** BEVERLY HILLS
- **STATE:** CA
- **ZIP:** 90210

### UNITED STATES SECURITIES AND EXCHANGE COMMISSION
**Washington, D.C. 20549**

## FORM C

### UNDER THE SECURITIES ACT OF 1933

### Issuer Information

**Name of Issuer:** Sambrosa Care, Inc.

**Legal Status:** Corporation

**Jurisdiction of Incorporation/Organization:** DE

**Date of Organization:** 08-13-2013

**Physical Address:** 9171 WILSHIRE BLVD, BEVERLY HILLS, CA, 90210

**Issuer Website:** www.sambrosa.com

**Is there a Co-Issuer?:** No

**Intermediary Name:** CULTIVATE CAPITAL GROUP, LLC

**Intermediary CIK:** 0001768367

**Intermediary File Number:** 008-70293

**Intermediary CRD Number:** 000300634

### Offering Information

**Compensation to Intermediary:** Upon successful completion of the offering and/or upon each closing and disbursement of funds from escrow, the intermediary shall be entitled to a non-refundable success fee equal to 5% of the gross proceeds raised from the offering.

**Financial Interest in Issuer:** $5,000.00 fee for due diligence, offering page setup, etc.

**Type of Security Offered:** Preferred Stock

**Number of Securities Offered:** 2000

**Price per Security:** $5.00

**Method for Determining Price:** Internal by management

**Target Offering Amount:** $10,000.00

**Oversubscription Accepted:** Yes

**Oversubscription Allocation Type:** Other

**Description of Oversubscription:** Management discretion

**Maximum Offering Amount:** $1,000,000.00

**Deadline to Reach Target Amount:** 02-28-2026

### Annual Report Disclosure Requirements

**Current Number of Employees:** 3.00

**Total Assets (Most Recent Fiscal Year):** $93,662.00

**Total Assets (Prior Fiscal Year):** $77,234.00

**Cash & Cash Equivalents (Most Recent Fiscal Year):** $15,853.00

**Cash & Cash Equivalents (Prior Fiscal Year):** $31,060.00

**Accounts Receivable (Most Recent Fiscal Year):** $0.00

**Accounts Receivable (Prior Fiscal Year):** $171.00

**Short-Term Debt (Most Recent Fiscal Year):** $0.00

**Short-Term Debt (Prior Fiscal Year):** $0.00

**Long-Term Debt (Most Recent Fiscal Year):** $2,765,468.00

**Long-Term Debt (Prior Fiscal Year):** $129,993.00

**Revenues/Sales (Most Recent Fiscal Year):** $203,591.00

**Revenues/Sales (Prior Fiscal Year):** $80,729.00

**Cost of Goods Sold (Most Recent Fiscal Year):** $50,137.00

**Cost of Goods Sold (Prior Fiscal Year):** $14,896.00

**Taxes Paid (Most Recent Fiscal Year):** $1,156.00

**Taxes Paid (Prior Fiscal Year):** $825.00

**Net Income (Most Recent Fiscal Year):** $-2,691,293.00

**Net Income (Prior Fiscal Year):** $-208,073.00

**Jurisdictions Offered:**

ALABAMA, ALASKA, ARIZONA, ARKANSAS, CALIFORNIA, COLORADO, CONNECTICUT, DELAWARE, DISTRICT OF COLUMBIA, FLORIDA, GEORGIA, HAWAII, IDAHO, ILLINOIS, INDIANA, IOWA, KANSAS, KENTUCKY, LOUISIANA, MAINE, MARYLAND, MASSACHUSETTS, MICHIGAN, MINNESOTA, MISSISSIPPI, MISSOURI, MONTANA, NEBRASKA, NEVADA, NEW HAMPSHIRE, NEW JERSEY, NEW MEXICO, NEW YORK, NORTH CAROLINA, NORTH DAKOTA, OHIO, OKLAHOMA, OREGON, PENNSYLVANIA, PR, RHODE ISLAND, SOUTH CAROLINA, SOUTH DAKOTA, TENNESSEE, TEXAS, UTAH, VERMONT, VIRGINIA, WASHINGTON, WEST VIRGINIA, WISCONSIN, WYOMING, ALBERTA, BRITISH COLUMBIA, MANITOBA, NEW BRUNSWICK, NEWFOUNDLAND, NOVA SCOTIA, ONTARIO, PRINCE EDWARD ISLAND, QUEBEC, SASKATCHEWAN, YUKON TERRITORY, ISRAEL

### Signatures

**Issuer:** Sambrosa Care, Inc.

**Signature:** John Van Hierden

**Title:** Principal Executive Officer, Principal Financial and Accounting Officer and Sole Director

---

**Signature:** John Van Hierden

**Title:** Principal Executive Officer, Principal Financial and Accounting Officer and Sole Director

**Date:** 04-30-2026