0001042167-21-000031.txt : 20210319 0001042167-21-000031.hdr.sgml : 20210319 20210319162029 ACCESSION NUMBER: 0001042167-21-000031 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20210319 DATE AS OF CHANGE: 20210319 EFFECTIVENESS DATE: 20210319 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Vytal Health 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: 021-392931 FILM NUMBER: 21758425 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 FORMER COMPANY: FORMER CONFORMED NAME: WellnessScript LLC DATE OF NAME CHANGE: 20190726 D 1 primary_doc.xml X0708 D LIVE 0001783731 Vytal Health LLC 159 NORTH JACKSON STREET SUITE 105 MILWAUKEE WI WISCONSIN 53202 855-998-4900 DELAWARE WellnessScript LLC 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 Director Hospitals and Physicians Decline to Disclose 06b false 2021-03-18 false true false 50000 602526 602526 0 false 3 0 0 0 false Vytal Health LLC /s/ Alex Yampolsky Alex Yampolsky President and Chief Operating Officer 2021-03-18