0001704159-17-000001.txt : 20170419 0001704159-17-000001.hdr.sgml : 20170419 20170419094633 ACCESSION NUMBER: 0001704159-17-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20170419 DATE AS OF CHANGE: 20170419 EFFECTIVENESS DATE: 20170419 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Personal Health Lab, Inc. CENTRAL INDEX KEY: 0001704159 IRS NUMBER: 474493188 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-285089 FILM NUMBER: 17768893 BUSINESS ADDRESS: STREET 1: C/O VIVIRA HEALTH LAB GMBH STREET 2: KURFUERSTENDAMM 54/55 CITY: BERLIN STATE: 2M ZIP: 10707 BUSINESS PHONE: 4915140732078 MAIL ADDRESS: STREET 1: C/O VIVIRA HEALTH LAB GMBH STREET 2: KURFUERSTENDAMM 54/55 CITY: BERLIN STATE: 2M ZIP: 10707 D 1 primary_doc.xml X0707 D LIVE 0001704159 Personal Health Lab, Inc. C/O VIVIRA HEALTH LAB GMBH KURFUERSTENDAMM 54/55 BERLIN 2M GERMANY 10707 4915140732078 DELAWARE None None Corporation true 2015 Philip Heimann c/o Vivira Health Lab GmbH, Kurfuerstend Berlin 2M GERMANY 10707 Executive Officer Director Other Technology Decline to Disclose 06b false 2017-03-30 false true false 0 1121074 1121074 0 false 10 0 0 0 false Personal Health Lab, Inc. /s/ Philip Heimann Philip Heimann President 2017-04-19