0001975982-23-000001.txt : 20230503 0001975982-23-000001.hdr.sgml : 20230503 20230503141101 ACCESSION NUMBER: 0001975982-23-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20230503 DATE AS OF CHANGE: 20230503 EFFECTIVENESS DATE: 20230503 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Bountiful Labs, Inc. CENTRAL INDEX KEY: 0001975982 IRS NUMBER: 884145066 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-480718 FILM NUMBER: 23883059 BUSINESS ADDRESS: STREET 1: 830 MASSACHUSETTS AVENUE STREET 2: SUITE 1500 - FLOOR 4 CITY: INDIANAPOLIS STATE: IN ZIP: 46204 BUSINESS PHONE: 415-715-4527 MAIL ADDRESS: STREET 1: 830 MASSACHUSETTS AVENUE STREET 2: SUITE 1500 - FLOOR 4 CITY: INDIANAPOLIS STATE: IN ZIP: 46204 D 1 primary_doc.xml X0708 D LIVE 0001975982 Bountiful Labs, Inc. 830 MASSACHUSETTS AVENUE SUITE 1500 - FLOOR 4 INDIANAPOLIS IN INDIANA 46204 415-715-4527 DELAWARE None None Corporation true 2022 Scott Sinatra 830 Massachusetts Avenue Suite 1500 - Floor 4 Indianapolis IN INDIANA 46204 Executive Officer Director Scott Dorsey 830 Massachusetts Avenue Suite 1500 - Floor 4 Indianapolis IN INDIANA 46204 Director Other Technology Decline to Disclose 06b false 2023-04-12 false true false 100000 1500000 400000 1100000 false 1 0 0 0 false Bountiful Labs, Inc. /s/ Scott Sinatra Scott Sinatra CEO 2023-05-03