0001537182-12-000003.txt : 20121210 0001537182-12-000003.hdr.sgml : 20121210 20121210122537 ACCESSION NUMBER: 0001537182-12-000003 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: Rule 506 FILED AS OF DATE: 20121210 DATE AS OF CHANGE: 20121210 EFFECTIVENESS DATE: 20121210 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 SEC ACT: 1933 Act SEC FILE NUMBER: 021-188085 FILM NUMBER: 121252382 BUSINESS ADDRESS: STREET 1: 600 N 36TH ST. CITY: SEATTLE STATE: WA ZIP: 98103 BUSINESS PHONE: 360-460-8098 MAIL ADDRESS: STREET 1: 600 N 36TH ST. CITY: SEATTLE STATE: WA ZIP: 98103 D 1 primary_doc.xml X0706 D LIVE 0001537182 ComponentLab Inc. 600 N 36th St SEATTLE WA WASHINGTON 98103 360-460-8098 DELAWARE None None Corporation true 2011 Manuel Medina 600 N 36th St Seattle WA WASHINGTON 98103 Executive Officer Director Wesley Hather 600 N 36th St Seattle WA WASHINGTON 98103 Executive Officer Director Gordon L. Hempton 600 N 36th St Seattle WA WASHINGTON 98103 Executive Officer Director Andrew Kinzer 600 N 36th St Seattle WA WASHINGTON 98103 Executive Officer Director Other Technology Decline to Disclose 06 false 2012-11-27 false true false 0 600000 600000 0 false 4 0 0 0 false ComponentLab Inc. /s/ Manuel Medina Manuel Medina CEO 2012-12-10