0001646637-21-000001.txt : 20210114 0001646637-21-000001.hdr.sgml : 20210114 20210114133717 ACCESSION NUMBER: 0001646637-21-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20210114 DATE AS OF CHANGE: 20210114 EFFECTIVENESS DATE: 20210114 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: 021-386357 FILM NUMBER: 21528277 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 X0708 D LIVE 0001646637 Vital Labs, Inc. 728 LEXINGTON WAY BURLINGAME CA CALIFORNIA 94010 415-545-8891 DELAWARE Lion Labs, Inc. None Corporation true Dag Kittlaus 728 Lexington Way Burlingame CA CALIFORNIA 94010 Executive Officer Director Tuhin Sinha 728 Lexington Way Burlingame CA CALIFORNIA 94010 Director Greg Yap 728 Lexington Way Burlingame CA CALIFORNIA 94010 Director Richard Zane 728 Lexington Way Burlingame CA CALIFORNIA 94010 Director Elton Satusky c/o WSGR 650 Page Mill Road Palo Alto CA CALIFORNIA 94304 Executive Officer Other Decline to Disclose 06b false 2020-12-30 false true false 0 13293093 12524499 768594 false 9 0 0 0 false Vital Labs, Inc. Dag Kittlaus Dag Kittlaus Chief Executive Officer 2021-01-14