0001765671-19-000001.txt : 20190130
0001765671-19-000001.hdr.sgml : 20190130
20190130100018
ACCESSION NUMBER: 0001765671-19-000001
CONFORMED SUBMISSION TYPE: D
PUBLIC DOCUMENT COUNT: 1
ITEM INFORMATION: 06b
FILED AS OF DATE: 20190130
DATE AS OF CHANGE: 20190130
EFFECTIVENESS DATE: 20190130
FILER:
COMPANY DATA:
COMPANY CONFORMED NAME: Medical Nutrition Innovation, Inc.
CENTRAL INDEX KEY: 0001765671
IRS NUMBER: 000000000
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: D
SEC ACT: 1933 Act
SEC FILE NUMBER: 021-331704
FILM NUMBER: 19550594
BUSINESS ADDRESS:
STREET 1: 394 NORTH HIGHLAND AVENUE
CITY: MERION STATION
STATE: PA
ZIP: 19066
BUSINESS PHONE: 610-955-8499
MAIL ADDRESS:
STREET 1: 394 NORTH HIGHLAND AVENUE
CITY: MERION STATION
STATE: PA
ZIP: 19066
D
1
primary_doc.xml
X0708
D
LIVE
0001765671
Medical Nutrition Innovation, Inc.
256 Eagleview Blvd #213
Exton
PA
PENNSYLVANIA
19341
(484) 212-5797
DELAWARE
None
None
Corporation
true
2019
James
O'Connell
c/o Medical Nutrition Innovation, Inc.
256 Eagleview Blvd #213
Exton
PA
PENNSYLVANIA
19341
Executive Officer
Director
Virginia
Stallings
c/o Medical Nutrition Innovation, Inc.
256 Eagleview Blvd #213
Exton
PA
PENNSYLVANIA
19341
Director
Thomas
Gravina
c/o Medical Nutrition Innovation, Inc.
256 Eagleview Blvd #213
Exton
PA
PENNSYLVANIA
19341
Director
Richard
Vague
c/o Medical Nutrition Innovation, Inc.
256 Eagleview Blvd #213
Exton
PA
PENNSYLVANIA
19341
Director
Frederick
Jones
c/o Medical Nutrition Innovation, Inc.
256 Eagleview Blvd #213
Exton
PA
PENNSYLVANIA
19341
Director
Biotechnology
Decline to Disclose
- 06b
false
2019-01-15
false
true
false
0
4672500
941304
3731196
false
29
0
0
80000
true
Approximately $80,000.00 will be used to reimburse James O'Connell and Virginia Stallings for various business expenses. A portion of the proceeds will also be used to pay Virginia Stallings's consulting fees.
false
Medical Nutrition Innovation, Inc.
/James O'Connell/
James O'Connell
President and CEO
2019-01-30