0001633155-16-000004.txt : 20160523 0001633155-16-000004.hdr.sgml : 20160523 20160523165716 ACCESSION NUMBER: 0001633155-16-000004 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20160523 DATE AS OF CHANGE: 20160523 EFFECTIVENESS DATE: 20160523 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Supply Clinic, Inc. CENTRAL INDEX KEY: 0001633155 IRS NUMBER: 471341735 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-263696 FILM NUMBER: 161669772 BUSINESS ADDRESS: STREET 1: 1 WEST SUPERIOR STREET STREET 2: APT. 2917 CITY: CHICAGO STATE: IL ZIP: 60654 BUSINESS PHONE: 617-356-8033 MAIL ADDRESS: STREET 1: 1 WEST SUPERIOR STREET STREET 2: APT. 2917 CITY: CHICAGO STATE: IL ZIP: 60654 D 1 primary_doc.xml X0707 D LIVE 0001633155 Supply Clinic, Inc. 222 Merchandise Mart Plaza Suite 1230 CHICAGO IL ILLINOIS 60654 617-356-8033 DELAWARE None None Corporation true 2014 Jacob Drucker 222 Merchandise Mart Plaza Suite 1230 Chicago IL ILLINOIS 60654 Executive Officer Director Promoter Scott Drucker 222 Merchandise Mart Plaza Suite 1230 Chicago IL ILLINOIS 60654 Executive Officer Director Promoter Business Services Decline to Disclose 06b false 2016-05-13 false true true false 1 Indefinite 26946 Indefinite false 1 0 0 150000 true false Supply Clinic, Inc. Samuel M. Shafner Samuel M. Shafner Assistant Secretary 2016-05-23