0001704159-19-000002.txt : 20190306
0001704159-19-000002.hdr.sgml : 20190306
20190306131325
ACCESSION NUMBER: 0001704159-19-000002
CONFORMED SUBMISSION TYPE: D
PUBLIC DOCUMENT COUNT: 1
ITEM INFORMATION: 06b
FILED AS OF DATE: 20190306
DATE AS OF CHANGE: 20190306
EFFECTIVENESS DATE: 20190306
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: 021-334170
FILM NUMBER: 19661930
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
X0708
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
2019-02-19
false
true
true
true
Convertible Promissory Note
false
11000
730000
730000
0
false
11
0
0
0
false
Personal Health Lab, Inc.
Philip Heimann
Philip Heimann
President
2019-03-06