0001624135-17-000001.txt : 20170718 0001624135-17-000001.hdr.sgml : 20170718 20170717184659 ACCESSION NUMBER: 0001624135-17-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20170718 DATE AS OF CHANGE: 20170717 EFFECTIVENESS DATE: 20170718 FILER: COMPANY DATA: COMPANY CONFORMED NAME: myLAB Box, Inc. CENTRAL INDEX KEY: 0001624135 IRS NUMBER: 465645530 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-290929 FILM NUMBER: 17968336 BUSINESS ADDRESS: STREET 1: 849 SOUTH BROADWAY, SUITE 409 CITY: LOS ANGELES STATE: CA ZIP: 90014 BUSINESS PHONE: 323-744-1459 MAIL ADDRESS: STREET 1: 849 SOUTH BROADWAY, SUITE 409 CITY: LOS ANGELES STATE: CA ZIP: 90014 D 1 primary_doc.xml X0708 D LIVE 0001624135 myLAB Box, Inc. 1905 N. Wilcox Avenue Suite 214 Los Angeles CA CALIFORNIA 90068 323-744-1459 DELAWARE None None Corporation true 2014 Ursula Hessenflow c/o myLAB Box, Inc. 1905 N. Wilcox Avenue, Suite 214 Los Angeles CA CALIFORNIA 90068 Executive Officer Director Lora Ivanova c/o myLAB Box, Inc. 1905 N. Wilcox Avenue, Suite 214 Los Angeles CA CALIFORNIA 90068 Executive Officer Director Stephen Block c/o myLAB Box, Inc. 1905 N. Wilcox Avenue, Suite 214 Los Angeles CA CALIFORNIA 90068 Director Other Health Care Decline to Disclose 06b false 2017-07-06 false true false 0 1500000 1084728 415272 $399,995.92 in new money; $684,732.97 in conversion of promissory notes false 27 0 0 0 false myLAB Box, Inc. /s/ Ursula Hessenflow Ursula Hessenflow Chief Executive Officer 2017-07-13