0001719865-18-000002.txt : 20180104 0001719865-18-000002.hdr.sgml : 20180104 20180104142604 ACCESSION NUMBER: 0001719865-18-000002 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20180104 DATE AS OF CHANGE: 20180104 EFFECTIVENESS DATE: 20180104 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Pill Club Holdings, Inc. CENTRAL INDEX KEY: 0001719865 IRS NUMBER: 822663206 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-302395 FILM NUMBER: 18509615 BUSINESS ADDRESS: STREET 1: 969 INDUSTRIAL ROAD CITY: SAN CARLOS STATE: CA ZIP: 94070 BUSINESS PHONE: 772-217-4557 MAIL ADDRESS: STREET 1: 969 INDUSTRIAL ROAD CITY: SAN CARLOS STATE: CA ZIP: 94070 D 1 primary_doc.xml X0708 D LIVE 0001719865 Pill Club Holdings, Inc. 969 INDUSTRIAL ROAD SAN CARLOS CA CALIFORNIA 94070 772-217-4557 DELAWARE None None Corporation true 2017 Nicholas Chang 969 Industrial Road San Carlos CA CALIFORNIA 94070 Executive Officer Director Kris Frederickson 969 Industrial Road San Carlos CA CALIFORNIA 94070 Director Nikhil Basu Trivedi 969 Industrial Road San Carlos CA CALIFORNIA 94070 Director Other Health Care Decline to Disclose 06b false 2017-12-21 false true false 0 8269571 7969999 299572 false 8 0 0 0 false Pill Club Holdings, Inc. /s/ Nicholas Chang Nicholas Chang Chief Executive Officer 2017-12-31