0001950267-22-000001.txt : 20221012 0001950267-22-000001.hdr.sgml : 20221012 20221011212351 ACCESSION NUMBER: 0001950267-22-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06c FILED AS OF DATE: 20221012 DATE AS OF CHANGE: 20221011 EFFECTIVENESS DATE: 20221012 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Modern Pediatrics, Inc. CENTRAL INDEX KEY: 0001950267 IRS NUMBER: 371959688 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-461439 FILM NUMBER: 221305452 BUSINESS ADDRESS: STREET 1: 21750 HARDY OAK BLVD STREET 2: STE 104, PMB 41431 CITY: SAN ANTONIO STATE: TX ZIP: 78258 BUSINESS PHONE: (512) 580-9204 MAIL ADDRESS: STREET 1: 21750 HARDY OAK BLVD STREET 2: STE 104, PMB 41431 CITY: SAN ANTONIO STATE: TX ZIP: 78258 D 1 primary_doc.xml X0708 D LIVE 0001950267 Modern Pediatrics, Inc. 21750 HARDY OAK BLVD STE 104, PMB 41431 SAN ANTONIO TX TEXAS 78258 (512) 580-9204 DELAWARE None None Corporation true 2019 Andrew O'Hara 21750 Hardy Oak Blvd Ste 104, PMB 41431 San Antonio TX TEXAS 78258 Executive Officer Director Timothy Porter 21750 Hardy Oak Blvd Ste 104, PMB 41431 San Antonio TX TEXAS 78258 Executive Officer Director Other Health Care Decline to Disclose 06c false 2022-09-27 false true true false 0 1300000 1102000 198000 false 4 0 0 0 false Modern Pediatrics, Inc. Andrew O'Hara Andrew O'Hara Chief Executive Officer 2022-10-11