-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, PabWFAdyu8ptJaB8nAG1gFBZNIeb6ddOuCb3tfs4QRjeRwRSjH3bXBT99k2juib0 e2AhvuX2qM3H6oVYgRc2mw== 0001096906-10-000019.txt : 20100111 0001096906-10-000019.hdr.sgml : 20100111 20100108173142 ACCESSION NUMBER: 0001096906-10-000019 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: Rule 504(b)(1) (not (i), (ii) or (iii)) FILED AS OF DATE: 20100111 DATE AS OF CHANGE: 20100108 EFFECTIVENESS DATE: 20100111 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Qi Ultralounge, LLC CENTRAL INDEX KEY: 0001480323 IRS NUMBER: 271403960 STATE OF INCORPORATION: CA FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-137631 FILM NUMBER: 10518444 BUSINESS ADDRESS: STREET 1: 576 INGMAN COURT CITY: MARINA STATE: CA ZIP: 93933 BUSINESS PHONE: (831) 917-0371 MAIL ADDRESS: STREET 1: 576 INGMAN COURT CITY: MARINA STATE: CA ZIP: 93933 D 1 primary_doc.xml X0603 D LIVE 0001480323 Qi Ultralounge, LLC 576 INGMAN COURT MARINA CA 93933 (831) 917-0371 CALIFORNIA None None Limited Liability Company true 2009 Marco Vazquez 576 Ingman Court Marina CA 93933 Executive Officer Member and Manager Steven Crooks 5640 Tinta Lane Shakpoee MN 55379 Executive Officer Member and Manager Other $1 - $1,000,000 04 false 2009-12-30 false true false 0 None None None None 576 Ingman Court Marina CA 93933 CA MN 150000 150000 0 This represents the initial investment of the two Members in the LLC. No further sales are anticipated. false 2 0 0 No agent, broker or finder was, or will be, involved in offering. 0 None of the invested assets will be used to pay the Member-Managers, who are listed in Item 3. false Qi Ultralounge, LLC /s/ Marco Vazquez Marco Vazquez Member-Manager 2009-12-30 -----END PRIVACY-ENHANCED MESSAGE-----