0001769212-19-000002.txt : 20191028 0001769212-19-000002.hdr.sgml : 20191028 20191028100323 ACCESSION NUMBER: 0001769212-19-000002 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20191028 DATE AS OF CHANGE: 20191028 EFFECTIVENESS DATE: 20191028 FILER: COMPANY DATA: COMPANY CONFORMED NAME: myEyeris, Inc. CENTRAL INDEX KEY: 0001769212 IRS NUMBER: 825343279 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-351952 FILM NUMBER: 191171524 BUSINESS ADDRESS: STREET 1: 2817 WEST END AVE STREET 2: SUITE 117 CITY: NASHVILLE STATE: TN ZIP: 37210 BUSINESS PHONE: (615)321-4393 MAIL ADDRESS: STREET 1: 2817 WEST END AVE STREET 2: SUITE 117 CITY: NASHVILLE STATE: TN ZIP: 37210 D 1 primary_doc.xml X0708 D LIVE 0001769212 myEyeris, Inc. 90 Oceanside Dr. NASHVILLE TN TENNESSEE 37204 (615)321-4393 DELAWARE Well EyeCare, Inc. None Corporation true 2018 Jeffery Sonsino 90 Oceanside Drive Nashville TN TENNESSEE 37204 Executive Officer Director Tommy J Ducklo 90 Oceanside Drive Nashville TN TENNESSEE 37204 Director Barrow Andrew 90 Oceanside Drive Nashville TN TENNESSEE 37204 Executive Officer Director Other Technology Decline to Disclose 06b false 2019-09-05 false true Simple Agreement for Future Equity false 10000 2450000 1850000 600000 false 12 0 0 0 false myEyeris, Inc. /s/ Andrew Barrow Andrew Barrow CEO 2019-10-24