0001668628-17-000001.txt : 20170814 0001668628-17-000001.hdr.sgml : 20170814 20170814122553 ACCESSION NUMBER: 0001668628-17-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20170814 DATE AS OF CHANGE: 20170814 EFFECTIVENESS DATE: 20170814 FILER: COMPANY DATA: COMPANY CONFORMED NAME: My Gene Counsel, LLC CENTRAL INDEX KEY: 0001668628 IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-292720 FILM NUMBER: 171028623 BUSINESS ADDRESS: STREET 1: 70 STODDARD AVENUE CITY: NORTH HAVEN STATE: CT ZIP: 06473 BUSINESS PHONE: 203-314-2532 MAIL ADDRESS: STREET 1: 70 STODDARD AVENUE CITY: NORTH HAVEN STATE: CT ZIP: 06473 D 1 primary_doc.xml X0708 D LIVE 0001668628 My Gene Counsel, LLC 70 STODDARD AVENUE NORTH HAVEN CT CONNECTICUT 06473 203-314-2532 DELAWARE None None Limited Liability Company true 2014 Ellen Matloff c/o My Gene Counsel, LLC 70 Stoddard Avenue North Haven CT CONNECTICUT 06473 Executive Officer Director Vincent De Vita c/o My Gene Counsel, LLC 70 Stoddard Avenue North Haven CT CONNECTICUT 06473 Director David Cohen c/o My Gene Counsel, LLC 70 Stoddard Avenue North Haven CT CONNECTICUT 06473 Director Danielle Bonadies c/o My Gene Counsel, LLC 70 Stoddard Avenue North Haven CT CONNECTICUT 06473 Director Other Health Care Decline to Disclose 06b false 2017-08-14 false true true true false 0 200000 200000 0 false 5 0 0 0 true false My Gene Counsel, LLC Ellen Matloff Ellen Matloff Manager 2017-08-14