0001717011-22-000003.txt : 20220120 0001717011-22-000003.hdr.sgml : 20220120 20220119180050 ACCESSION NUMBER: 0001717011-22-000003 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: Rule 504(b)(1) (not (i), (ii) or (iii)) ITEM INFORMATION: 06b FILED AS OF DATE: 20220120 DATE AS OF CHANGE: 20220119 EFFECTIVENESS DATE: 20220120 FILER: COMPANY DATA: COMPANY CONFORMED NAME: QC LABS CENTRAL INDEX KEY: 0001717011 IRS NUMBER: 475491171 STATE OF INCORPORATION: CA FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-430009 FILM NUMBER: 22539939 BUSINESS ADDRESS: STREET 1: 1801 CARNEGIE AVENUE CITY: SANTA ANA STATE: CA ZIP: 92705 BUSINESS PHONE: 949-329-8378 MAIL ADDRESS: STREET 1: 1801 CARNEGIE AVENUE CITY: SANTA ANA STATE: CA ZIP: 92705 D 1 primary_doc.xml X0708 D LIVE 0001717011 QC LABS 1801 CARNEGIE AVENUE SANTA ANA CA CALIFORNIA 92705 949-329-8378 CALIFORNIA None None Corporation true SUSAN SEMLAK 1801 CARNEGIE AVE SANTA ANA CA CALIFORNIA 92705 Executive Officer MATTHEW FRIEDHOFF 1801 CARNEGIE AVE SANTA ANA CA CALIFORNIA 92705 Executive Officer MATTHEW NORDGREN 1801 CARNEGIE AVE SANTA ANA CA CALIFORNIA 92705 Director GARY HOPKINSON 1801 CARNEGIE AVE SANTA ANA CA CALIFORNIA 92705 Director CHRIS HETHERINGTON 1801 CARNEGIE AVE SANTA ANA CA CALIFORNIA 92705 Director ERIC WEINSTEIN 1801 CARNEGIE AVE SANTA ANA CA CALIFORNIA 92705 Director BRIAN LANNON 1801 CARNEGIE AVE SANTA ANA CA CALIFORNIA 92705 Director KEVIN LANNON 1801 CARNEGIE AVE SANTA ANA CA CALIFORNIA 92705 Director JASON MOORE-BROWN 1801 CARNEGIE AVE SANTA ANA CA CALIFORNIA 92705 Director Other Decline to Disclose 04 06b false 2021-11-29 false true true false 0 2000000 625000 1375000 false 2 0 0 54232 true false QC LABS Susan Semlak Susan Semlak Chief Executive Officer 2022-01-19