0001828984-23-000001.txt : 20230316 0001828984-23-000001.hdr.sgml : 20230316 20230316095625 ACCESSION NUMBER: 0001828984-23-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20230316 DATE AS OF CHANGE: 20230316 EFFECTIVENESS DATE: 20230316 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: 021-476041 FILM NUMBER: 23737462 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 STREET 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 06b false 2023-03-03 false true false 0 2250000 100000 2150000 false 2 0 0 0 true false Cloud Dentistry, Inc. /s/ Roberto Tepichin III Roberto Tepichin III President 2023-03-15