0001496558-13-000002.txt : 20131029 0001496558-13-000002.hdr.sgml : 20131029 20131029131038 ACCESSION NUMBER: 0001496558-13-000002 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20131029 DATE AS OF CHANGE: 20131029 EFFECTIVENESS DATE: 20131029 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Clinical Ink, Inc. CENTRAL INDEX KEY: 0001496558 IRS NUMBER: 272987645 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-205413 FILM NUMBER: 131175572 BUSINESS ADDRESS: STREET 1: 100 N. CHERRY STREET, STE 520 CITY: WINSTON-SALEM STATE: NC ZIP: 27101 BUSINESS PHONE: 336-714-7402 MAIL ADDRESS: STREET 1: 100 N. CHERRY STREET, STE 520 CITY: WINSTON-SALEM STATE: NC ZIP: 27101 D 1 primary_doc.xml X0707 D LIVE 0001496558 Clinical Ink, Inc. 100 N. CHERRY STREET, STE 520 WINSTON-SALEM NC NORTH CAROLINA 27101 336-714-7402 DELAWARE Clinical Ink, LLC None Corporation true Edward S. Seguine 2080 Bedfordshire Road Furlong PA PENNSYLVANIA 18925 Executive Officer Director Promoter Douglas E. Pierce, Jr. 6101 Seward Road Pfafftown NC NORTH CAROLINA 27040 Executive Officer Director Promoter Philip RS Waugh, Jr. 4030 Shattalon Drive Winston-Salem NC NORTH CAROLINA 27106 Director Stephen H. Coltrin 801 Floral Vale Blvd. Yardley PA PENNSYLVANIA 19067 Director Robert Kniejski 151 Wellspring Court Pfafftown NC NORTH CAROLINA 27040 Director Other $1,000,001 - $5,000,000 06b false 2013-10-15 false true false 0 4300000 1300000 3000000 true 1 18 0 0 0 false Clinical Ink, Inc. Douglas E. Pierce, Jr. Douglas E. Pierce, Jr. President 2013-10-29