0001657369-19-000003.txt : 20191118 0001657369-19-000003.hdr.sgml : 20191118 20191118134538 ACCESSION NUMBER: 0001657369-19-000003 CONFORMED SUBMISSION TYPE: D/A PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20191118 DATE AS OF CHANGE: 20191118 EFFECTIVENESS DATE: 20191118 FILER: COMPANY DATA: COMPANY CONFORMED NAME: MD Revolution, Inc. CENTRAL INDEX KEY: 0001657369 IRS NUMBER: 452485559 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D/A SEC ACT: 1933 Act SEC FILE NUMBER: 021-352623 FILM NUMBER: 191226918 BUSINESS ADDRESS: STREET 1: 9191 TOWNE CENTRE DR. SUITE 510 CITY: SAN DIEGO STATE: CA ZIP: 92122 BUSINESS PHONE: 858-847-5064 MAIL ADDRESS: STREET 1: 9191 TOWNE CENTRE DR. SUITE 510 CITY: SAN DIEGO STATE: CA ZIP: 92122 D/A 1 primary_doc.xml X0708 D/A LIVE 0001657369 MD Revolution, Inc. 9191 TOWNE CENTRE DR. SUITE 510 SAN DIEGO CA CALIFORNIA 92122 858-847-5064 DELAWARE MDRevolution LLC La Jolla Institute of Personalized Medicine L MDRevolution, Inc. None Corporation true Parker Hinshaw c/o MD Revolution, Inc. 9191 Towne Centre Dr. Suite 510 San Diego CA CALIFORNIA 92122 Executive Officer Director Samir Damani c/o MD Revolution, Inc. 9191 Towne Centre Dr. Suite 510 San Diego CA CALIFORNIA 92122 Executive Officer Director Jean Balgrosky c/o MD Revolution, Inc. 9191 Towne Centre Dr. Suite 510 San Diego CA CALIFORNIA 92122 Executive Officer Director Other Decline to Disclose 06b true 0001657369-19-000001 2019-10-21 false true false 0 3000000 2725786 274214 false 29 0 0 0 false MD Revolution, Inc. /s/ Parker Hinshaw Parker Hinshaw Chief Executive Officer 2019-11-15