0001779539-21-000001.txt : 20210929 0001779539-21-000001.hdr.sgml : 20210929 20210929121136 ACCESSION NUMBER: 0001779539-21-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20210929 DATE AS OF CHANGE: 20210929 EFFECTIVENESS DATE: 20210929 FILER: COMPANY DATA: COMPANY CONFORMED NAME: AdaptiLab, Inc. CENTRAL INDEX KEY: 0001779539 IRS NUMBER: 320572939 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-415008 FILM NUMBER: 211290369 BUSINESS ADDRESS: STREET 1: 6012 147TH PL SE CITY: BELLEVUE STATE: WA ZIP: 98006 BUSINESS PHONE: 8583868551 MAIL ADDRESS: STREET 1: 6012 147TH PL SE CITY: BELLEVUE STATE: WA ZIP: 98006 D 1 primary_doc.xml X0708 D LIVE 0001779539 AdaptiLab, Inc. 999 3rd Ave, Ste 3300 Seattle WA WASHINGTON 98104 8583868551 DELAWARE None None Corporation true 2018 Allen Lu 999 3rd Ave, Ste 3300 Seattle WA WASHINGTON 98104 Director Yuval Neeman 999 3rd Ave, Ste 3300 Seattle WA WASHINGTON 98104 Director James Wu 999 3rd Ave, Ste 3300 Seattle WA WASHINGTON 98104 Director Other Decline to Disclose 06b false 2021-06-23 false true true false 0 250000 250000 0 false 1 0 0 0 false AdaptiLab, Inc. James Wu James Wu Chief Executive Officer 2021-09-29