0001567619-23-000432.txt : 20230105 0001567619-23-000432.hdr.sgml : 20230105 20230105150402 ACCESSION NUMBER: 0001567619-23-000432 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20230105 DATE AS OF CHANGE: 20230105 EFFECTIVENESS DATE: 20230105 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Her M.D., Inc. CENTRAL INDEX KEY: 0001816044 IRS NUMBER: 844124006 STATE OF INCORPORATION: OH FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-469818 FILM NUMBER: 23510921 BUSINESS ADDRESS: STREET 1: 8350 E. KEMPER ROAD, SUITE A CITY: CINCINNATI STATE: OH ZIP: 45249 BUSINESS PHONE: 847-903-7741 MAIL ADDRESS: STREET 1: 8350 E. KEMPER ROAD, SUITE A CITY: CINCINNATI STATE: OH ZIP: 45249 D 1 primary_doc.xml X0708 D LIVE 0001816044 Her M.D., Inc. 8350 E. KEMPER ROAD, SUITE A CINCINNATI OH OHIO 45249 847-903-7741 OHIO None None Corporation true 2020 Kathryn McAleer Her M.D., Inc. 8350 E Kemper Rd., Suite A Cincinnati OH OHIO 45249 Executive Officer Director CEO and President Sunbal Z. Javaid, M.D. Her M.D., Inc. 8350 E Kemper Rd., Suite A Cincinnati OH OHIO 45249 Executive Officer Director John Harris Her M.D., Inc. 8350 E Kemper Rd., Suite A Cincinnati OH OHIO 45249 Director Komel Caruso Her M.D., Inc. 8350 E Kemper Rd., Suite A Cincinnati OH OHIO 45249 Executive Officer Kathy Lai Her M.D., Inc. 8350 E Kemper Rd., Suite A Cincinnati OH OHIO 45249 Executive Officer Wes Cannon Her M.D., Inc. 8350 E Kemper Rd., Suite A Cincinnati OH OHIO 45249 Executive Officer CFO, Secretary, and Treasurer Other Health Care Decline to Disclose 06b false 2022-12-20 false true true true true Series A-1 Convertible Preferred Stock, including issuance of underlying shares of common stock false 0 15000000 6520000 8480000 false 3 0 0 0 false Her M.D., Inc. /s/ Kathryn McAleer Kathryn McAleer CEO & President 2023-01-04