0001719865-19-000001.txt : 20190122 0001719865-19-000001.hdr.sgml : 20190122 20190122135450 ACCESSION NUMBER: 0001719865-19-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20190122 DATE AS OF CHANGE: 20190122 EFFECTIVENESS DATE: 20190122 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: 021-331041 FILM NUMBER: 19535116 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 Fredrickson 969 Industrial Road San Carlos CA CALIFORNIA 94070 Director Nikhil Basu Trivedi 969 Industrial Road San Carlos CA CALIFORNIA 94070 Director Kara Roell 969 Industrial Road San Carlos CA CALIFORNIA 94070 Director Maria De Los Milagros Pinon 969 Industrial Road San Carlos CA CALIFORNIA 94070 Executive Officer Other Health Care Decline to Disclose 06b false 2019-01-08 false true false 0 50999992 49999994 999998 false 7 0 0 0 false Pill Club Holdings, Inc. /s/ Nicholas Chang Nicholas Chang Chief Executive Officer 2019-01-19