0002148509-26-000004.txt : 20260921 0002148509-26-000004.hdr.sgml : 20260921 20260921114310 ACCESSION NUMBER: 0002148509-26-000004 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: Rule 506(b) provides a "safer harbor" for a private offering FILED AS OF DATE: 20260921 DATE AS OF CHANGE: 20260921 EFFECTIVENESS DATE: 20260921 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Functional Longevity Labs, Inc. CENTRAL INDEX KEY: 0002148509 ORGANIZATION NAME: EIN: 991687323 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-598219 FILM NUMBER: 261392953 BUSINESS ADDRESS: STREET 1: 104 TECH PARK DRIVE STREET 2: SUITE 16 CITY: EASTON STATE: MD BUSINESS PHONE: 410-401-5330 MAIL ADDRESS: STREET 1: 104 TECH PARK DRIVE STREET 2: SUITE 16 CITY: EASTON STATE: MD D 1 primary_doc.xml X0708 D LIVE 0002148509 Functional Longevity Labs, Inc. 104 TECH PARK DRIVE SUITE 16 EASTON MD MARYLAND 21613 703-935-9352 DELAWARE None None Corporation true 2024 Dr. William K. Smith 104 Tech Park Drive Suite 16 Easton MD MARYLAND 21613 Executive Officer Director Other Health Care Decline to Disclose 06b false 2026-09-09 false true Simple Agreement for Future Equity false 0 1000000 25000 975000 false 1 0 0 0 false Functional Longevity Labs, Inc. /s/ Dr. William K. Smith Dr. William K. Smith Chief Executive Officer 2026-09-21