0001603816-16-000004.txt : 20160922 0001603816-16-000004.hdr.sgml : 20160922 20160922092951 ACCESSION NUMBER: 0001603816-16-000004 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20160922 DATE AS OF CHANGE: 20160922 EFFECTIVENESS DATE: 20160922 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Ultra Ink, Inc. CENTRAL INDEX KEY: 0001603816 IRS NUMBER: 433066118 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-271099 FILM NUMBER: 161896819 BUSINESS ADDRESS: STREET 1: 1800 HOWELL MILL RD. STREET 2: SUITE 140 CITY: ATLANTA STATE: GA ZIP: 30318 BUSINESS PHONE: 404-351-4151 MAIL ADDRESS: STREET 1: 1800 HOWELL MILL RD. STREET 2: SUITE 140 CITY: ATLANTA STATE: GA ZIP: 30318 D 1 primary_doc.xml X0707 D LIVE 0001603816 Ultra Ink, Inc. 1800 HOWELL MILL RD. SUITE 140 ATLANTA GA GEORGIA 30318 404-351-4151 DELAWARE None None Corporation true 2011 Mark A. Codner 1800 Howell Mill Road Suite 140 Atlanta GA GEORGIA 30318 Executive Officer Director Teresa W. Ayers 1800 Howell Mill Road Suite 140 Atlanta GA GEORGIA 30318 Executive Officer Director Sigmund Mosely Jr. 75 Fifth Street NW Suite 427 Atlanta GA GEORGIA 30318 Director Other Decline to Disclose 06b false 2016-09-08 false true false 0 500000 500000 0 false 5 0 0 0 false Ultra Ink, Inc. /s/ Mark A. Codner, MD Mark A. Codner, MD President 2016-09-21