0001719865-19-000003.txt : 20191230 0001719865-19-000003.hdr.sgml : 20191230 20191230120528 ACCESSION NUMBER: 0001719865-19-000003 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20191230 DATE AS OF CHANGE: 20191230 EFFECTIVENESS DATE: 20191230 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: 021-356630 FILM NUMBER: 191315675 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 Kristian 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 Carolo CA CALIFORNIA 94070 Director Other Health Care Decline to Disclose 06b false 2019-12-20 false true false 0 15000000 7000000 8000000 false 7 0 0 0 false Pill Club Holdings, Inc. /s/Nicholas Chang Nicholas Chang Chief Executive Officer 2019-12-30