0001646637-16-000005.txt : 20161121 0001646637-16-000005.hdr.sgml : 20161121 20161121165125 ACCESSION NUMBER: 0001646637-16-000005 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20161121 DATE AS OF CHANGE: 20161121 EFFECTIVENESS DATE: 20161121 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Vital Labs, Inc. CENTRAL INDEX KEY: 0001646637 IRS NUMBER: 463120819 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-274909 FILM NUMBER: 162010816 BUSINESS ADDRESS: STREET 1: 728 LEXINGTON WAY CITY: BURLINGAME STATE: CA ZIP: 94010 BUSINESS PHONE: 415-545-8891 MAIL ADDRESS: STREET 1: 728 LEXINGTON WAY CITY: BURLINGAME STATE: CA ZIP: 94010 D 1 primary_doc.xml X0707 D LIVE 0001646637 Vital Labs, Inc. 728 LEXINGTON WAY BURLINGAME CA CALIFORNIA 94010 415-545-8891 DELAWARE Lion Labs, Inc. None Corporation true 2013 Adam D'Augelli c/o Vital Labs, Inc. 728 Lexington Way Burlingame CA CALIFORNIA 94010 Director Tuhin Sinha c/o Vital Labs, Inc. 728 Lexington Way Burlingame CA CALIFORNIA 94010 Executive Officer Director Other Decline to Disclose 06b false 2016-11-08 false true false 0 1068000 567403 500597 false 1 0 0 0 false Vital Labs, Inc. /s/ Tuhin Sinha Tuhin Sinha CEO 2016-11-18