0001604596-14-000001.txt : 20140403
0001604596-14-000001.hdr.sgml : 20140403
20140403105546
ACCESSION NUMBER: 0001604596-14-000001
CONFORMED SUBMISSION TYPE: D
PUBLIC DOCUMENT COUNT: 1
ITEM INFORMATION: 06b
FILED AS OF DATE: 20140403
DATE AS OF CHANGE: 20140403
EFFECTIVENESS DATE: 20140403
FILER:
COMPANY DATA:
COMPANY CONFORMED NAME: Pure Life Renal, Inc.
CENTRAL INDEX KEY: 0001604596
IRS NUMBER: 464660566
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: D
SEC ACT: 1933 Act
SEC FILE NUMBER: 021-214824
FILM NUMBER: 14740779
BUSINESS ADDRESS:
STREET 1: 4000 HOLLYWOOD BOULEVARD
STREET 2: SUITE 300N
CITY: HOLLYWOOD
STATE: FL
ZIP: 33021
BUSINESS PHONE: 9549625733
MAIL ADDRESS:
STREET 1: 4000 HOLLYWOOD BOULEVARD
STREET 2: SUITE 300N
CITY: HOLLYWOOD
STATE: FL
ZIP: 33021
D
1
primary_doc.xml
X0707
D
LIVE
0001604596
Pure Life Renal, Inc.
4000 HOLLYWOOD BOULEVARD
SUITE 300N
HOLLYWOOD
FL
FLORIDA
33021
9549625733
DELAWARE
None
None
Corporation
true
2014
Orestes
Lugo
4000 Hollywood Boulevard
Suite 300N
Hollywood
FL
FLORIDA
33021
Executive Officer
Director
Stefano
Ciampolini
22a Ives Street
London
X0
UNITED KINGDOM
SW3 2ND
Director
Jeff
Fernandez
4000 Hollywood Boulevard
Suite 300N
Hollywood
FL
FLORIDA
33021
Executive Officer
Stefano
Sola
1132 Youngs Ford Road
Gladwine
PA
PENNSYLVANIA
19035
Director
Daniel
Turner
One Ferry Building
Suite 255
San Francisco
CA
CALIFORNIA
94111
Director
Howard
Palefsky
Pne Ferry Building
Suite 255
San Francisco
CA
CALIFORNIA
94111
Director
McClelland
Spence
4200 Northside Parkway
#9
Atlanta
GA
GEORGIA
30327
Director
Allen
Moseley
4200 Northside Parkway
#9
Atlanta
GA
GEORGIA
30327
Director
Other Health Care
No Revenues
- 06b
false
2014-03-19
false
true
false
633725
Outcome Capital, LLC
100960
None
None
11911 Freedom Drive
Suite 1010
Reston
VA
VIRGINIA
20190
CA
CALIFORNIA
GA
GEORGIA
PA
PENNSYLVANIA
false
21000000
10500000
10500000
false
4
300000
0
0
false
Pure Life Renal, Inc.
Jeff Fernandez
Jeff Fernandez
VP/CFO
2014-04-03