0001231919-22-000019.txt : 20220330 0001231919-22-000019.hdr.sgml : 20220330 20220330095859 ACCESSION NUMBER: 0001231919-22-000019 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20220330 DATE AS OF CHANGE: 20220330 EFFECTIVENESS DATE: 20220330 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: 021-439554 FILM NUMBER: 22783651 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. 27 E 28th Street, 12th Floor New York NY NEW YORK 10016 361-563-4978 DELAWARE None None Corporation true Steven Craig Gutentag c/o Thirty Madison, Inc. 27 E 28th Street, 12th Floor New York NY NEW YORK 10016 Executive Officer Director Demetrius Michael Karagas c/o Thirty Madison, Inc. 27 E 28th Street, 12th Floor New York NY NEW YORK 10016 Director Jason Stoffer c/o Thirty Madison, Inc. 27 E 28th Street, 12th Floor New York NY NEW YORK 10016 Director Amy Schulman c/o Thirty Madison, Inc. 27 E 28th Street, 12th Floor New York NY NEW YORK 10016 Director Randy Scott c/o Thirty Madison, Inc. 27 E 28th Street, 12th Floor New York NY NEW YORK 10016 Director Regina Benjamin c/o Thirty Madison, Inc. 27 E 28th Street, 12th Floor New York NY NEW YORK 10016 Director Andrew Weissman c/o Thirty Madison, Inc. 27 E 28th Street, 12th Floor New York NY NEW YORK 10016 Director Other Health Care Decline to Disclose 06b false 2022-03-14 false true true true Offering made pursuant to the Agreement and Plan of Merger and Reorganization, dated as of 2/8/2022, by and among Thirty Madison, Inc., Lex Merger Sub, Inc., NURX Inc., and Fortis Advisors LLC (the "Merger Agreement"). 0 111997233 111997233 0 The total offering amount sold represents the issuance of stock pursuant to the Merger Agreement together with the exercise in full of warrants in the aggregate amount of $1,250,132. false 83 0 0 0 false Thirty Madison, Inc. /s/ Steven Gutentag Steven Gutentag Chief Executive Officer 2022-03-30