0001726691-17-000001.txt : 20171229 0001726691-17-000001.hdr.sgml : 20171229 20171229142555 ACCESSION NUMBER: 0001726691-17-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20171229 DATE AS OF CHANGE: 20171229 EFFECTIVENESS DATE: 20171229 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Premium Vitals LLC CENTRAL INDEX KEY: 0001726691 IRS NUMBER: 822828255 STATE OF INCORPORATION: NY FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-302015 FILM NUMBER: 171281430 BUSINESS ADDRESS: STREET 1: 75 EAST SHORE ROAD STREET 2: UPPER LEVEL CITY: GREAT NECK STATE: NY ZIP: 11023 BUSINESS PHONE: 516-455-2284 MAIL ADDRESS: STREET 1: 75 EAST SHORE ROAD STREET 2: UPPER LEVEL CITY: GREAT NECK STATE: NY ZIP: 11023 D 1 primary_doc.xml X0708 D LIVE 0001726691 Premium Vitals LLC 75 EAST SHORE ROAD UPPER LEVEL GREAT NECK NY NEW YORK 11023 516-455-2284 NEW YORK None None Limited Liability Company true 2017 William J. Zaccaria 75 East Shore Road Upper Level Great Neck NY NEW YORK 11023 Executive Officer Director Promoter Manager of Issuer Other Technology Decline to Disclose 06b false true false true false 30000 5000000 0 5000000 false 0 0 0 0 false Premium Vitals LLC /s/ William J. Zaccaria William J. Zaccaria Manager of Issuer 2017-12-29