0002020524-24-000003.txt : 20241217 0002020524-24-000003.hdr.sgml : 20241217 20241217161554 ACCESSION NUMBER: 0002020524-24-000003 CONFORMED SUBMISSION TYPE: D/A PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20241217 DATE AS OF CHANGE: 20241217 EFFECTIVENESS DATE: 20241217 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Impact Laboratory Services, Inc. CENTRAL INDEX KEY: 0002020524 ORGANIZATION NAME: IRS NUMBER: 923835538 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D/A SEC ACT: 1933 Act SEC FILE NUMBER: 021-512694 FILM NUMBER: 241555849 BUSINESS ADDRESS: STREET 1: 4A TROLLEY SQUARE STREET 2: #1393 CITY: WILMINGTON STATE: DE ZIP: 19806 BUSINESS PHONE: 206.209.8961 MAIL ADDRESS: STREET 1: 4A TROLLEY SQUARE STREET 2: #1393 CITY: WILMINGTON STATE: DE ZIP: 19806 D/A 1 primary_doc.xml X0708 D/A LIVE 0002020524 Impact Laboratory Services, Inc. 24A TROLLEY SQUARE #1393 WILMINGTON DE DELAWARE 19806 206.209.8961 DELAWARE None None Corporation true 2023 James Connelly 24A Trolley Square #1393 Wilmington DE DELAWARE 19806 Executive Officer Director Neill Lane 24A Trolley Square #1393 Wilmington DE DELAWARE 19806 Director Adam Zirkin 24A Trolley Square #1393 Wilmington DE DELAWARE 19806 Director Sam Wright 24A Trolley Square #1393 Wilmington DE DELAWARE 19806 Executive Officer David Beeghly 24A Trolley Square #1393 Wilmington DE DELAWARE 19806 Director Other Technology Decline to Disclose 06b true 0002020524-24-000002 2024-04-24 false true false 10000 5000000 3775524 1224476 false 13 0 0 72000 false Impact Laboratory Services, Inc. /s/ James Connelly James Connelly CEO 2024-12-17