0001719865-19-000002.txt : 20190904 0001719865-19-000002.hdr.sgml : 20190904 20190904161818 ACCESSION NUMBER: 0001719865-19-000002 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20190904 DATE AS OF CHANGE: 20190904 EFFECTIVENESS DATE: 20190904 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: 021-348002 FILM NUMBER: 191074755 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. 411 Borel Ave. Suite 100 San Mateo CA CALIFORNIA 94402 772-217-4557 DELAWARE None None Corporation true 2017 Nicholas Chang 411 Borel Ave. Suite 100 San Mateo CA CALIFORNIA 94402 Executive Officer Director Kris Fredrickson 411 Borel Ave. Suite 100 San Mateo CA CALIFORNIA 94402 Director Nikhil Basu Trivedi 411 Borel Ave. Suite 100 San Mateo CA CALIFORNIA 94402 Director Kara Roell 411 Borel Ave. Suite 100 San Mateo CA CALIFORNIA 94402 Director Other Health Care Decline to Disclose 06b false 2019-09-04 false true true false 0 999999 999999 0 false 1 0 0 0 false Pill Club Holdings, Inc. /s/Nicholas Chang Nicholas Chang Chief Executive Officer 2019-09-04