0001537182-16-000004.txt : 20160104 0001537182-16-000004.hdr.sgml : 20160101 20160104130626 ACCESSION NUMBER: 0001537182-16-000004 CONFORMED SUBMISSION TYPE: D/A PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20160104 DATE AS OF CHANGE: 20160104 EFFECTIVENESS DATE: 20160104 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: 021-250188 FILM NUMBER: 161317232 BUSINESS ADDRESS: STREET 1: 3417 FREMONT AVENUE N. STREET 2: SUITE 221 CITY: SEATTLE STATE: WA ZIP: 98103 BUSINESS PHONE: (888) 928-7356 MAIL ADDRESS: STREET 1: 3417 FREMONT AVENUE N. STREET 2: SUITE 221 CITY: SEATTLE STATE: WA ZIP: 98103 D/A 1 primary_doc.xml X0707 D/A LIVE 0001537182 ComponentLab Inc. 3417 FREMONT AVENUE N. SUITE 221 SEATTLE WA WASHINGTON 98103 (888) 928-7356 DELAWARE None None Corporation true 2011 Manuel Medina 3417 Fremont Avenue N. Suite 221 Seattle WA WASHINGTON 98103 Executive Officer Director Gordon Leland Hempton 3417 Fremont Avenue N. Suite 221 Seattle WA WASHINGTON 98103 Executive Officer Director Andrew Kinzer 3417 Fremont Avenue N. Suite 221 Seattle WA WASHINGTON 98103 Executive Officer Wesley Hather 3417 Fremont Avenue N. Suite 221 Seattle WA WASHINGTON 98103 Executive Officer Vijay Nagappan 3417 Fremont Avenue N. Suite 221 Seattle WA WASHINGTON 98103 Director Rajeev Batra 3417 Fremont Avenue N. Suite 221 Seattle WA WASHINGTON 98103 Director Other Technology Decline to Disclose 06b true 0001537182-15-000002 2015-08-25 false true false 9999 9200000 9200000 0 false 9 0 0 0 false ComponentLab Inc. /s/ Manuel Medina Manuel Medina Chief Executive Officer 2016-01-04