0001719865-18-000004.txt : 20180620 0001719865-18-000004.hdr.sgml : 20180620 20180620163956 ACCESSION NUMBER: 0001719865-18-000004 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20180620 DATE AS OF CHANGE: 20180620 EFFECTIVENESS DATE: 20180620 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: 021-315007 FILM NUMBER: 18909872 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 2018-06-14 false true false 0 5549999 5549999 0 false 4 0 0 0 false Pill Club Holdings, Inc. /s/ Nicholas Chang Nicholas Chang Chief Executive Officer 2018-06-20