0001571995-15-000003.txt : 20150604 0001571995-15-000003.hdr.sgml : 20150604 20150604144513 ACCESSION NUMBER: 0001571995-15-000003 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20150604 DATE AS OF CHANGE: 20150604 EFFECTIVENESS DATE: 20150604 FILER: COMPANY DATA: COMPANY CONFORMED NAME: PillPack, Inc. CENTRAL INDEX KEY: 0001571995 IRS NUMBER: 461938720 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-241141 FILM NUMBER: 15912771 BUSINESS ADDRESS: STREET 1: 50 GROVE STREET CITY: SOMERVILLE STATE: MA ZIP: 02144 BUSINESS PHONE: 855-745-5725 MAIL ADDRESS: STREET 1: 50 GROVE STREET CITY: SOMERVILLE STATE: MA ZIP: 02144 D 1 primary_doc.xml X0707 D LIVE 0001571995 PillPack, Inc. 50 GROVE STREET SOMERVILLE MA MASSACHUSETTS 02144 855-745-5725 DELAWARE None None Corporation true 2013 Timothy Parker 50 Grove Street Somerville MA MASSACHUSETTS 02144 Executive Officer Director Chief Executive Officer, Director Elliot Cohen 50 Grove Street Somerville MA MASSACHUSETTS 02144 Executive Officer Director Chief Technology Officer, Director Fred Destin 50 Grove Street Somerville MA MASSACHUSETTS 02144 Director David Frankel 50 Grove Street Somerville MA MASSACHUSETTS 02144 Director Jon Karlen 50 Grove Street Somerville MA MASSACHUSETTS 02144 Director Other Health Care Decline to Disclose 06b false 2015-05-22 false true false 0 49999961 49999961 0 false 10 0 0 0 false PillPack, Inc. /s/ Timothy Parker Timothy Parker Chief Executive Officer 2015-06-04