-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, VwEJWQEWZi5oXby1yAUtVMR9a1NvlolyeLi4OOf9kXAwO4ClINg+xIiMTb8f5i+B vwGtSFnQKHPbvR5kiHuoTQ== 0001475603-09-000001.txt : 20091029 0001475603-09-000001.hdr.sgml : 20091029 20091029111957 ACCESSION NUMBER: 0001475603-09-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: Rule 504(b)(1) (not (i), (ii) or (iii)) FILED AS OF DATE: 20091029 DATE AS OF CHANGE: 20091029 EFFECTIVENESS DATE: 20091029 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Formtek, Inc. CENTRAL INDEX KEY: 0001475603 IRS NUMBER: 251422859 STATE OF INCORPORATION: PA FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-135674 FILM NUMBER: 091143624 BUSINESS ADDRESS: STREET 1: 2190 MERIDIAN PARK BLVD STREET 2: SUITE G CITY: CONCORD STATE: CA ZIP: 94520-5715 BUSINESS PHONE: 925-459-0480 MAIL ADDRESS: STREET 1: 2190 MERIDIAN PARK BLVD STREET 2: SUITE G CITY: CONCORD STATE: CA ZIP: 94520-5715 D 1 primary_doc.xml X0603 D LIVE 0001475603 Formtek, Inc. 2190 MERIDIAN PARK BLVD SUITE G CONCORD CA 94520-5715 925-459-0480 PENNSYLVANIA None None Corporation true Dennis M Scanlon 2190 Meridian Park Blvd. Suite G Concord CA 94520-5715 Executive Officer Gary P Mann 2190 Meridian Park Blvd Suite G Concord CA 94520-5715 Director Fred Whitridge 2190 Meridian Park Blvd Suite G Concord CA 94520-5715 Director Computers Decline to Disclose 04 false 2009-10-08 false true false 10000 1000000 310000 690000 false 6 0 0 0 false Formtek, Inc. s/Dennis M. Scanlon/ Dennis M. Scanlon President & COO 2009-10-29 -----END PRIVACY-ENHANCED MESSAGE-----