0001231919-21-000053.txt : 20210602 0001231919-21-000053.hdr.sgml : 20210602 20210602172933 ACCESSION NUMBER: 0001231919-21-000053 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20210602 DATE AS OF CHANGE: 20210602 EFFECTIVENESS DATE: 20210602 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Thirty Madison, Inc. CENTRAL INDEX KEY: 0001707035 IRS NUMBER: 813709209 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-401543 FILM NUMBER: 21990344 BUSINESS ADDRESS: STREET 1: 3701 BROADWAY, APT 3A CITY: ASTORIA STATE: NY ZIP: 11103 BUSINESS PHONE: 361-563-4978 MAIL ADDRESS: STREET 1: 3701 BROADWAY, APT 3A CITY: ASTORIA STATE: NY ZIP: 11103 D 1 primary_doc.xml X0708 D LIVE 0001707035 Thirty Madison, Inc. 29 W. 30th St. 4th Floor New York NY NEW YORK 10001 361-563-4978 DELAWARE None None Corporation true Steven Craig Gutentag c/o Thirty Madison, Inc. 29 W. 30th St., 4th Floor New York NY NEW YORK 10001 Executive Officer Director Demetrius Michael Karagas c/o Thirty Madison, Inc. 29 W. 30th St., 4th Floor New York NY NEW YORK 10001 Director Stoffer Jason c/o Thirty Madison, Inc. 29 W. 30th St., 4th Floor New York NY NEW YORK 10001 Director Amy Schulman c/o Thirty Madison, Inc. 29 W. 30th St., 4th Floor New York NY NEW YORK 10001 Director Randy Scott c/o Thirty Madison, Inc. 29 W. 30th St., 4th Floor New York NY NEW YORK 10001 Director Other Health Care Decline to Disclose 06b false 2021-05-18 false true false 0 140999762 140999762 0 $1,000,000 issued pursuant to conversion of previously outstanding SAFE false 26 0 0 0 false Thirty Madison, Inc. /s/ Steven Craig Gutentag Steven Craig Gutentag Chief Executive Officer 2021-06-02