0001726691-22-000001.txt : 20220812 0001726691-22-000001.hdr.sgml : 20220812 20220812100952 ACCESSION NUMBER: 0001726691-22-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20220812 DATE AS OF CHANGE: 20220812 EFFECTIVENESS DATE: 20220812 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: 021-455766 FILM NUMBER: 221158380 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 175 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 175 East Shore Road Upper Level Great Neck NY NEW YORK 11023 Executive Officer Investing Decline to Disclose 06b false 2022-08-04 false true false 100000 1678300 1678300 0 false 9 0 0 0 false Premium Vitals LLC /s/ William J. Zaccaria William J. Zaccaria Manager 2022-08-12