0001707415-22-000001.txt : 20220331 0001707415-22-000001.hdr.sgml : 20220331 20220331114212 ACCESSION NUMBER: 0001707415-22-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20220331 DATE AS OF CHANGE: 20220331 EFFECTIVENESS DATE: 20220331 FILER: COMPANY DATA: COMPANY CONFORMED NAME: PELVITAL USA, INC. CENTRAL INDEX KEY: 0001707415 IRS NUMBER: 812720757 STATE OF INCORPORATION: MN FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-439800 FILM NUMBER: 22790470 BUSINESS ADDRESS: STREET 1: 1000 LASALLE AVE STREET 2: SCH 435 CITY: MINNEAPOLIS STATE: MN ZIP: 55403 BUSINESS PHONE: 612-804-1319 MAIL ADDRESS: STREET 1: 1000 LASALLE AVE STREET 2: SCH 435 CITY: MINNEAPOLIS STATE: MN ZIP: 55403 D 1 primary_doc.xml X0708 D LIVE 0001707415 PELVITAL USA, INC. 1000 LASALLE AVE SCH 435 MINNEAPOLIS MN MINNESOTA 55403 612-804-1319 MINNESOTA None None Corporation true Cathy Barr 1000 Laselle Ave SCH 435 Minneapolis MN MINNESOTA 55403 Director John Feriancek 1000 Laselle Ave SCH 435 Minneapolis MN MINNESOTA 55403 Director Kathy Sherwood 1000 Laselle Ave SCH 435 Minneapolis MN MINNESOTA 55403 Director Ole Olson 1000 Laselle Ave SCH 435 Minneapolis MN MINNESOTA 55403 Director Jerry Mattys 1000 Laselle Ave SCH 435 Minneapolis MN MINNESOTA 55403 Director Dale Wahlstrom 1000 Laselle Ave SCH 435 Minneapolis MN MINNESOTA 55403 Executive Officer Director Other Health Care Decline to Disclose 06b false 2022-03-25 false true true false 0 None None None None None None MN MINNESOTA None All States false Indefinite 74998 Indefinite false 2 0 0 0 false PELVITAL USA, INC. Dale Wahlstrom Dale Wahlstrom CEO 2022-03-29