0001606688-17-000001.txt : 20170705 0001606688-17-000001.hdr.sgml : 20170705 20170705104709 ACCESSION NUMBER: 0001606688-17-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20170705 DATE AS OF CHANGE: 20170705 EFFECTIVENESS DATE: 20170705 FILER: COMPANY DATA: COMPANY CONFORMED NAME: CertaScan Technologies LLC CENTRAL INDEX KEY: 0001606688 IRS NUMBER: 464892998 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-289969 FILM NUMBER: 17946483 BUSINESS ADDRESS: STREET 1: 159 KNOLLWOOD DRIVE CITY: FAIRFIELD STATE: CT ZIP: 06824 BUSINESS PHONE: 914-384-2390 MAIL ADDRESS: STREET 1: 159 KNOLLWOOD DRIVE CITY: FAIRFIELD STATE: CT ZIP: 06824 D 1 primary_doc.xml X0707 D LIVE 0001606688 CertaScan Technologies LLC 15 KENSETT LANE DARIEN CT CONNECTICUT 06820 914-384-2390 DELAWARE None None Limited Liability Company true 2014 DAVID YARNELL 15 KENSETT LANE DARIEN CT CONNECTICUT 06820 Executive Officer Director JAMES McKENNA 159 KNOLLWOOD DRIVE FAIRFIELD CT CONNECTICUT 06824 Executive Officer Director JAMES SCHIFF 485 UNDERHILL BOULEVARD SYOSSET NY NEW YORK 11791 Director ROBERT DAHL 83 PECKSLAND ROAD GREENWICH CT CONNECTICUT 06831 Director ANDREW GASPAR 51 WAYNE AVENUE ATLANTIC BEACH NY NEW YORK 11509 Director Other Decline to Disclose 06b false 2017-06-23 false true convertible debt false 0 1000000 1000000 0 false 21 0 0 0 false CertaScan Technologies LLC /David Yarnell/ David Yarnell Chief Executive Officer 2017-07-05