0001828984-22-000003.txt : 20220303 0001828984-22-000003.hdr.sgml : 20220303 20220303135813 ACCESSION NUMBER: 0001828984-22-000003 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06c FILED AS OF DATE: 20220303 DATE AS OF CHANGE: 20220303 EFFECTIVENESS DATE: 20220303 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Cloud Dentistry, Inc. CENTRAL INDEX KEY: 0001828984 IRS NUMBER: 473134619 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-435731 FILM NUMBER: 22707804 BUSINESS ADDRESS: STREET 1: 22 CAROLINE STREET CITY: WELLESLEY STATE: MA ZIP: 02481 BUSINESS PHONE: 7134962329 MAIL ADDRESS: STREET 1: ONE WASHINGTON MALL CITY: BOSTON STATE: MA ZIP: 02108 D 1 primary_doc.xml X0708 D LIVE 0001828984 Cloud Dentistry, Inc. 22 Caroline St. Wellesley MA MASSACHUSETTS 02481 7134962329 DELAWARE None None Corporation true 2020 Roberto Tepichin c/o Cloud Dentistry, Inc. 22 Caroline St. Wellesley MA MASSACHUSETTS 02481 Executive Officer Director Cheyenne Welker c/o Cloud Dentistry, Inc. 22 Caroline St. Wellesley MA MASSACHUSETTS 02481 Director Reza Sanjar c/o Cloud Dentistry, Inc. 22 Caroline St. Wellesley MA MASSACHUSETTS 02481 Director Shervin Molayem c/o Cloud Dentistry, Inc. 22 Caroline St. Wellesley MA MASSACHUSETTS 02481 Director Other Health Care Decline to Disclose 06c false 2022-02-16 false true false 0 1643259 463258 1180001 false 5 0 0 200000 true false Cloud Dentistry, Inc. /s/ Roberto Tepichin III Roberto Tepichin III President 2022-03-03