0001605586-15-000001.txt : 20150225 0001605586-15-000001.hdr.sgml : 20150225 20150225140422 ACCESSION NUMBER: 0001605586-15-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20150225 DATE AS OF CHANGE: 20150225 EFFECTIVENESS DATE: 20150225 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: 021-234722 FILM NUMBER: 15646985 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 Director Chief Executive Officer and Founder Gene Scott Elliot 8521 SW 5th Place Gainesville FL FLORIDA 32607 Executive Officer Director Chief Operating Officer and Founder Brian Kieser 1350 N. Loop 1604 E Suite 100 San Antonio TX TEXAS 78232 Director c/o Fountainhead Investment Partners, LLC Biotechnology Decline to Disclose 06b false 2015-02-23 false true false 0 1550000 832613 717387 false 4 0 0 0 false AmnioLife Corp /s/ Christopher Broderick Christopher Broderick CEO 2015-02-25