0001807063-21-000001.txt : 20210305 0001807063-21-000001.hdr.sgml : 20210305 20210305161251 ACCESSION NUMBER: 0001807063-21-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20210305 DATE AS OF CHANGE: 20210305 EFFECTIVENESS DATE: 20210305 FILER: COMPANY DATA: COMPANY CONFORMED NAME: IMMUNOPROFILE, LLC CENTRAL INDEX KEY: 0001807063 IRS NUMBER: 461770959 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-391414 FILM NUMBER: 21718619 BUSINESS ADDRESS: STREET 1: 850 S. COLLIER BLVD. STREET 2: UNIT 401 CITY: MARCO ISLAND STATE: FL ZIP: 34145 BUSINESS PHONE: (860) 508-5646 MAIL ADDRESS: STREET 1: 850 S. COLLIER BLVD. STREET 2: UNIT 401 CITY: MARCO ISLAND STATE: FL ZIP: 34145 D 1 primary_doc.xml X0708 D LIVE 0001807063 IMMUNOPROFILE, LLC 850 S. COLLIER BLVD. UNIT 401 MARCO ISLAND FL FLORIDA 34145 (860) 508-5646 DELAWARE None None Limited Liability Company true William Shea 850 S. Collier Blvd. Unit 401 Marco Island FL FLORIDA 34145 Director Sudip Ghatak 12 McGinnis Street East Brunswick NJ NEW JERSEY 08816 Director Biotechnology Decline to Disclose 06b false 2021-02-24 false true false 25000 1600000 1165000 435000 false 8 0 0 0 false IMMUNOPROFILE, LLC William Shea William Shea Director 2021-03-05