0001653700-16-000002.txt : 20160922 0001653700-16-000002.hdr.sgml : 20160922 20160922155705 ACCESSION NUMBER: 0001653700-16-000002 CONFORMED SUBMISSION TYPE: D/A PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20160922 DATE AS OF CHANGE: 20160922 EFFECTIVENESS DATE: 20160922 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Certigen Laboratory, LLC CENTRAL INDEX KEY: 0001653700 IRS NUMBER: 465081856 STATE OF INCORPORATION: OK FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D/A SEC ACT: 1933 Act SEC FILE NUMBER: 021-248006 FILM NUMBER: 161897666 BUSINESS ADDRESS: STREET 1: 9309 S. TOLEDO AVE. CITY: TULSA STATE: OK ZIP: 74137 BUSINESS PHONE: 918-960-3150 MAIL ADDRESS: STREET 1: 9309 S. TOLEDO AVE. CITY: TULSA STATE: OK ZIP: 74137 D/A 1 primary_doc.xml X0707 D/A LIVE 0001653700 Certigen Laboratory, LLC 9309 S. TOLEDO AVE. TULSA OK OKLAHOMA 74137 918-960-3150 OKLAHOMA None None Limited Liability Company true 2014 Travers Mahan, III 9309 S. Toledo Ave. Tulsa OK OKLAHOMA 74137 Executive Officer Other Health Care $1 - $1,000,000 06b true 0001653700-15-000001 2015-11-19 true true false 4000 400000 64000 336000 false 0 0 0 0 false Certigen Laboratory, LLC /Travers Mahan/ Travers Mahan, III CEO 2016-09-22