0001889921-21-000001.txt : 20211103 0001889921-21-000001.hdr.sgml : 20211103 20211102174444 ACCESSION NUMBER: 0001889921-21-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20211103 DATE AS OF CHANGE: 20211102 EFFECTIVENESS DATE: 20211103 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Eye To Eye Telehealth, Inc. CENTRAL INDEX KEY: 0001889921 IRS NUMBER: 850916713 STATE OF INCORPORATION: WY FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-419576 FILM NUMBER: 211372745 BUSINESS ADDRESS: STREET 1: 222 W. 5TH AVENUE CITY: CHEYENNE STATE: WY ZIP: 82001 BUSINESS PHONE: 7205601940 MAIL ADDRESS: STREET 1: 222 W. 5TH AVENUE CITY: CHEYENNE STATE: WY ZIP: 82001 D 1 primary_doc.xml X0708 D LIVE 0001889921 Eye To Eye Telehealth, Inc. 222 W. 5TH AVENUE CHEYENNE WY WYOMING 82001 7205601940 WYOMING None None Corporation true 2020 David Smits 222 W. 5th Avenue Cheyenne WY WYOMING 82001 Executive Officer Preston Smits 222 W. 5th Avenue Cheyenne WY WYOMING 82001 Executive Officer Other Health Care No Revenues 06b false 2021-10-22 false true false 20000 Indefinite 0 Indefinite false 2 0 0 0 true false Eye To Eye Telehealth, Inc. Matthew D. Kaufman Matthew D. Kaufman Attorney 2021-11-02