0002001368-23-000002.txt : 20231116 0002001368-23-000002.hdr.sgml : 20231116 20231116122509 ACCESSION NUMBER: 0002001368-23-000002 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20231116 DATE AS OF CHANGE: 20231116 EFFECTIVENESS DATE: 20231116 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Independence Pet Holdings, Inc. CENTRAL INDEX KEY: 0002001368 IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-497428 FILM NUMBER: 231413508 BUSINESS ADDRESS: STREET 1: 8051 ARCO CORPORATE DR #350 CITY: RALEIGH STATE: NC ZIP: 27617 BUSINESS PHONE: (602) 834-0792 MAIL ADDRESS: STREET 1: 8051 ARCO CORPORATE DR #350 CITY: RALEIGH STATE: NC ZIP: 27617 D 1 primary_doc.xml X0708 D LIVE 0002001368 Independence Pet Holdings, Inc. 8051 ARCO CORPORATE DR #350 RALEIGH NC NORTH CAROLINA 27617 (602) 834-0792 DELAWARE None None Corporation true 2021 David Kettig c/o Independence Pet Group, Inc. 8051 Arco Corporate Dr #350 Raleigh NC NORTH CAROLINA 27617 Director Lane Kent c/o Independence Pet Group, Inc. 8051 Arco Corporate Dr #350 Raleigh NC NORTH CAROLINA 27617 Executive Officer Director Trevor Ashley c/o Independence Pet Group, Inc. 8051 Arco Corporate Dr #350 Raleigh NC NORTH CAROLINA 27617 Director Dirk Beeckman c/o Independence Pet Group, Inc. 8051 Arco Corporate Dr #350 Raleigh NC NORTH CAROLINA 27617 Director Joachim Creus c/o Independence Pet Group, Inc. 8051 Arco Corporate Dr #350 Raleigh NC NORTH CAROLINA 27617 Director Frank Engelen c/o Independence Pet Group, Inc. 8051 Arco Corporate Dr #350 Raleigh NC NORTH CAROLINA 27617 Director Teresa Herbert c/o Independence Pet Group, Inc. 8051 Arco Corporate Dr #350 Raleigh NC NORTH CAROLINA 27617 Director Konrad Meyer c/o Independence Pet Group, Inc. 8051 Arco Corporate Dr #350 Raleigh NC NORTH CAROLINA 27617 Director Jon Dubauskas c/o Independence Pet Group, Inc. 8051 Arco Corporate Dr #350 Raleigh NC NORTH CAROLINA 27617 Executive Officer Sammi-Jo Nevin c/o Independence Pet Group, Inc. 8051 Arco Corporate Dr #350 Raleigh NC NORTH CAROLINA 27617 Executive Officer Keith Graham c/o Independence Pet Group, Inc. 8051 Arco Corporate Dr #350 Raleigh NC NORTH CAROLINA 27617 Executive Officer David Murvin c/o Independence Pet Group, Inc. 8051 Arco Corporate Dr #350 Raleigh NC NORTH CAROLINA 27617 Director Lubomira Rochet c/o Independence Pet Group, Inc. 8051 Arco Corporate Dr #350 Raleigh NC NORTH CAROLINA 27617 Director David Strauss c/o Independence Pet Group, Inc. 8051 Arco Corporate Dr #350 Raleigh NC NORTH CAROLINA 27617 Director Antonio Weiss c/o Independence Pet Group, Inc. 8051 Arco Corporate Dr #350 Raleigh NC NORTH CAROLINA 27617 Director Marc Castelluci c/o Independence Pet Group, Inc. 8051 Arco Corporate Dr #350 Raleigh NC NORTH CAROLINA 27617 Director Geoffrey Mckernan c/o Independence Pet Group, Inc. 8051 Arco Corporate Dr #350 Raleigh NC NORTH CAROLINA 27617 Director Insurance Decline to Disclose 06b false 2023-10-31 true true true true false 0 Indefinite 55589884 Indefinite false 27 0 0 0 false Independence Pet Holdings, Inc. /s/ Sammi-Jo Nevin Sammi-Jo Nevin Corporate Secretary 2023-11-15