0001719865-18-000005.txt : 20180919 0001719865-18-000005.hdr.sgml : 20180919 20180918202440 ACCESSION NUMBER: 0001719865-18-000005 CONFORMED SUBMISSION TYPE: D/A PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20180919 DATE AS OF CHANGE: 20180918 EFFECTIVENESS DATE: 20180919 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/A SEC ACT: 1933 Act SEC FILE NUMBER: 021-315007 FILM NUMBER: 181076840 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/A 1 primary_doc.xml X0708 D/A 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 true 0001719865-18-000004 2018-06-14 false true false 0 5649999 5559999 90000 false 5 0 0 0 false Pill Club Holdings, Inc. /s/ Nicholas Chang Nicholas Chang Chief Executive Officer 2018-09-18