0001657369-23-000001.txt : 20230811 0001657369-23-000001.hdr.sgml : 20230811 20230811131446 ACCESSION NUMBER: 0001657369-23-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20230811 DATE AS OF CHANGE: 20230811 EFFECTIVENESS DATE: 20230811 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 SEC ACT: 1933 Act SEC FILE NUMBER: 021-489496 FILM NUMBER: 231162790 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 1 primary_doc.xml X0708 D LIVE 0001657369 MD Revolution, Inc. 505 Lomas Santa Fe Dr. Suite 290 Solana Beach CA CALIFORNIA 92075 858-847-5064 DELAWARE La Jolla Institute of Personalized Medicine L MDRevolution LLC MDRevolution, Inc. None Corporation true Dorrell Parker Hinshaw c/o MD Revolution, Inc. 505 Lomas Santa Fe Dr., Suite 290 Solana Beach CA CALIFORNIA 92075 Director Samir Damani c/o MD Revolution, Inc. 505 Lomas Santa Fe Dr., Suite 290 Solana Beach CA CALIFORNIA 92075 Executive Officer Director Jean Balgrosky c/o MD Revolution, Inc. 505 Lomas Santa Fe Dr., Suite 290 Solana Beach CA CALIFORNIA 92075 Executive Officer Director Kyle Williams c/o MD Revolution, Inc. 505 Lomas Santa Fe Dr., Suite 290 Solana Beach CA CALIFORNIA 92075 Executive Officer Other Decline to Disclose 06b false 2023-07-31 false true false 0 5000000 4999993 7 false 31 0 0 0 false MD Revolution, Inc. /s/ Kyle Williams Kyle Williams Chief Executive Officer 2023-08-09