0001929369-23-000001.txt : 20230927 0001929369-23-000001.hdr.sgml : 20230927 20230927132237 ACCESSION NUMBER: 0001929369-23-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20230927 DATE AS OF CHANGE: 20230927 EFFECTIVENESS DATE: 20230927 FILER: COMPANY DATA: COMPANY CONFORMED NAME: CCG Lab Inc. CENTRAL INDEX KEY: 0001929369 IRS NUMBER: 830991243 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-493159 FILM NUMBER: 231283833 BUSINESS ADDRESS: STREET 1: 1432 EDINGER AVENUE STREET 2: SUITE 120 CITY: TUSTIN STATE: CA ZIP: 92780 BUSINESS PHONE: (949) 336-2794 MAIL ADDRESS: STREET 1: 1432 EDINGER AVENUE STREET 2: SUITE 120 CITY: TUSTIN STATE: CA ZIP: 92780 D 1 primary_doc.xml X0708 D LIVE 0001929369 CCG Lab Inc. 1432 EDINGER AVENUE SUITE 120 TUSTIN CA CALIFORNIA 92780 (949) 336-2794 DELAWARE None None Corporation true Matthew Scott 1432 Edinger Avenue, Suite 120 Tustin CA CALIFORNIA 92780 Executive Officer Director President, Chief Executive Officer and Chief Financial Officer Cory Jones 1432 Edinger Avenue, Suite 120 Tustin CA CALIFORNIA 92780 Executive Officer Chief Creative Officer John Nee 1432 Edinger Avenue, Suite 120 Tustin CA CALIFORNIA 92780 Director Other Decline to Disclose 06b false 2023-05-01 false true false 0 2500000 2500000 0 false 1 0 0 0 true false CCG Lab Inc. /s/ Matthew Scott Matthew Scott Chief Executive Officer 2023-09-27