0001537182-12-000001.txt : 20120709 0001537182-12-000001.hdr.sgml : 20120709 20120706184714 ACCESSION NUMBER: 0001537182-12-000001 CONFORMED SUBMISSION TYPE: D/A PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: Rule 506 FILED AS OF DATE: 20120709 DATE AS OF CHANGE: 20120706 EFFECTIVENESS DATE: 20120709 FILER: COMPANY DATA: COMPANY CONFORMED NAME: ComponentLab Inc. CENTRAL INDEX KEY: 0001537182 IRS NUMBER: 450914779 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D/A SEC ACT: 1933 Act SEC FILE NUMBER: 021-170038 FILM NUMBER: 12951519 BUSINESS ADDRESS: STREET 1: 511 BOREN AVE N CITY: SEATTLE STATE: WA ZIP: 98109 BUSINESS PHONE: 360-460-8098 MAIL ADDRESS: STREET 1: 511 BOREN AVE N CITY: SEATTLE STATE: WA ZIP: 98109 D/A 1 primary_doc.xml X0706 D/A LIVE 0001537182 ComponentLab Inc. 511 BOREN AVE N Suite 200 SEATTLE WA WASHINGTON 98109 360-460-8098 DELAWARE None None Corporation true 2011 Manuel Medina 511 Boren Ave N Suite 200 Seattle WA WASHINGTON 98109 Executive Officer Director Wesley Hather 511 Boren Ave N Suite 200 Seattle WA WASHINGTON 98019 Executive Officer Director Gordon L. Hempton 511 Boren Ave N Suite 200 Seattle WA WASHINGTON 98019 Executive Officer Director Andrew Kinzer 511 Boren Ave N Suite 200 Seattle WA WASHINGTON 98109 Executive Officer Director Other Technology Decline to Disclose 06 true 0001537182-11-000001 2011-12-01 false true true true true Convertible Notes false 5000 Indefinite 445000 Indefinite false 8 0 0 0 false ComponentLab Inc. Manuel Medina Manuel Medina CEO 2012-07-06