0001605586-14-000001.txt : 20140415 0001605586-14-000001.hdr.sgml : 20140415 20140415114338 ACCESSION NUMBER: 0001605586-14-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20140415 DATE AS OF CHANGE: 20140415 EFFECTIVENESS DATE: 20140415 FILER: COMPANY DATA: COMPANY CONFORMED NAME: AmnioLife Corp CENTRAL INDEX KEY: 0001605586 IRS NUMBER: 463020369 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-215586 FILM NUMBER: 14764175 BUSINESS ADDRESS: STREET 1: 3542 NW 97TH BLVD CITY: GAINESVILLE STATE: FL ZIP: 32606 BUSINESS PHONE: 336-509-6677 MAIL ADDRESS: STREET 1: 3542 NW 97TH BLVD CITY: GAINESVILLE STATE: FL ZIP: 32606 D 1 primary_doc.xml X0707 D LIVE 0001605586 AmnioLife Corp 3542 NW 97TH BLVD GAINESVILLE FL FLORIDA 32606 336-509-6677 DELAWARE None None Corporation true 2013 Thomas Christopher Broderick 612 Victoria Drive Hillsborough NC NORTH CAROLINA 27278 Executive Officer Founder and CEO Gene Scott Elliott 8521 SW 5th Place Gainesville FL FLORIDA 32607 Executive Officer Founder and COO Biotechnology Decline to Disclose 06b false 2014-04-07 false true Convertible Promissory Notes false 0 500000 50000 450000 true 0 2 0 0 0 true false AmnioLife Corp Thomas Christopher Broderick Thomas Christopher Broderick Chief Executive Officer and Founder 2014-04-15