0001042167-19-000064.txt : 20190729 0001042167-19-000064.hdr.sgml : 20190729 20190729105335 ACCESSION NUMBER: 0001042167-19-000064 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20190729 DATE AS OF CHANGE: 20190729 EFFECTIVENESS DATE: 20190729 FILER: COMPANY DATA: COMPANY CONFORMED NAME: WellnessScript LLC CENTRAL INDEX KEY: 0001783731 IRS NUMBER: 381088195 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-345221 FILM NUMBER: 19979810 BUSINESS ADDRESS: STREET 1: 159 NORTH JACKSON STREET STREET 2: SUITE 105 CITY: MILWAUKEE STATE: WI ZIP: 53202 BUSINESS PHONE: 8559984900 MAIL ADDRESS: STREET 1: 159 NORTH JACKSON STREET STREET 2: SUITE 105 CITY: MILWAUKEE STATE: WI ZIP: 53202 D 1 primary_doc.xml X0708 D LIVE 0001783731 WellnessScript LLC 159 NORTH JACKSON STREET SUITE 105 MILWAUKEE WI WISCONSIN 53202 8559984900 DELAWARE None None Limited Liability Company true 2018 Tiffany Mullen 159 North Jackson Street Suite 105 Milwaukee WI WISCONSIN 53202 Executive Officer Director Alex Yampolsky 159 North Jackson Street Suite 105 Milwaukee WI WISCONSIN 53202 Executive Officer Director Hospitals and Physicians Decline to Disclose 06b false 2019-07-17 false true false 50000 1500000 800000 700000 false 4 0 0 104000 true false WellnessScript LLC /s/ Tiffany Mullen Tiffany Mullen CEO 2019-07-24