0001231919-19-000027.txt : 20190531 0001231919-19-000027.hdr.sgml : 20190531 20190531131915 ACCESSION NUMBER: 0001231919-19-000027 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20190531 DATE AS OF CHANGE: 20190531 EFFECTIVENESS DATE: 20190531 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Mixlab, Inc. CENTRAL INDEX KEY: 0001778260 IRS NUMBER: 384033378 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-340834 FILM NUMBER: 19869621 BUSINESS ADDRESS: STREET 1: 336 WEST 37TH STREET SUITE 850 CITY: NEW YORK STATE: NY ZIP: 10018 BUSINESS PHONE: 888-901-4480 MAIL ADDRESS: STREET 1: 336 WEST 37TH STREET SUITE 850 CITY: NEW YORK STATE: NY ZIP: 10018 D 1 primary_doc.xml X0708 D LIVE 0001778260 Mixlab, Inc. 336 WEST 37TH STREET SUITE 850 NEW YORK NY NEW YORK 10018 888-901-4480 DELAWARE None None Corporation true 2017 Frederic Pierre Dijols c/o Mixlab, Inc. 336 West 37th Street Suite 850 New York NY NEW YORK 10018 Executive Officer Director Edward Kim c/o Mixlab, Inc. 336 West 37th Street Suite 850 New York NY NEW YORK 10018 Director Other Health Care Decline to Disclose 06b false 2019-04-30 false true false 0 8622627 8622627 0 The amount sold includes $2,122,614.25 through the issuance of stock upon the conversion of outstanding convertible securities. false 37 0 0 0 false Mixlab, Inc. /s/ Frederic Pierre Dijols Frederic Pierre Dijols Chief Executive Officer 2019-05-31