0001828984-23-000002.txt : 20231115 0001828984-23-000002.hdr.sgml : 20231115 20231115120955 ACCESSION NUMBER: 0001828984-23-000002 CONFORMED SUBMISSION TYPE: D/A PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20231115 DATE AS OF CHANGE: 20231115 EFFECTIVENESS DATE: 20231115 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/A SEC ACT: 1933 Act SEC FILE NUMBER: 021-476041 FILM NUMBER: 231409680 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/A 1 primary_doc.xml X0708 D/A 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 Kentucky Morrow 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 true 0001828984-23-000001 2023-03-03 true true true false 0 4499999 1930385 2569614 false 20 0 0 0 true false Cloud Dentistry, Inc. /s/ Roberto Tepichin III Roberto Tepichin III President 2023-11-15