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Amnion Life

schemaVersion:

Form C: Filer Information

Filer CIK:
0001755583 
Filer CCC:
XXXXXXXX 
Period:

12-31-2019 

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Submission Contact Information

Name:
 
Phone Number:
 
Contact E-Mail Address:
 
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Form C: Issuer Information

Issuer Information

Name of Issuer:

Amnion Life LLC 

Legal Status of Issuer:

Form:

Limited Liability Company 

Jurisdiction of Incorporation/Organization:

CALIFORNIA  

Date of Incorporation/Organization:

05-27-2016 

Physical Address of Issuer:

Address 1:

2618 San Miguel Dr #149 

City:

Newport Beach 

State/Country:

CALIFORNIA  

Mailing Zip/Postal Code:

92660 

Website of Issuer:

http://amnion.life 

Form C: Annual Report Disclosure Requirements

Annual Report Disclosure Requirements

Current Number of Employees:

Total Assets Most Recent Fiscal Year-end:

43608.00 

Total Assets Prior Fiscal Year-end:

165362.00 

Cash and Cash Equivalents Most Recent Fiscal Year-end:

17050.00 

Cash and Cash Equivalents Prior Fiscal Year-end:

152821.00 

Accounts Receivable Most Recent Fiscal Year-end:

0.00 

Accounts Receivable Prior Fiscal Year-end:

0.00 

Short-term Debt Most Recent Fiscal Year-end:

96220.00 

Short-term Debt Prior Fiscal Year-end:

117323.00 

Long-term Debt Most Recent Fiscal Year-end:

474687.00 

Long-term Debt Prior Fiscal Year-end:

400000.00 

Revenue/Sales Most Recent Fiscal Year-end:

0.00 

Revenue/Sales Prior Fiscal Year-end:

0.00 

Cost of Goods Sold Most Recent Fiscal Year-end:

0.00 

Cost of Goods Sold Prior Fiscal Year-end:

0.00 

Taxes Paid Most Recent Fiscal Year-end:

1323.00 

Taxes Paid Prior Fiscal Year-end:

1406.00 

Net Income Most Recent Fiscal Year-end:

-568029.00 

Net Income Prior Fiscal Year-end:

-324875.00 

Form C: Signature

Signature

Pursuant to the requirements of Sections 4(a)(6) and 4A of the Securities Act of 1933 and Regulation Crowdfunding (§ 227.100-503), the issuer certifies that it has reasonable grounds to believe that it meets all of the requirements for filing on Form C and has duly caused this Form to be signed on its behalf by the duly authorized undersigned.

Issuer:

Amnion Life LLC 

Signature:

Amir Fassihi 

Title:

Founder and CEO 

Pursuant to the requirements of Sections 4(a)(6) and 4A of the Securities Act of 1933 and Regulation Crowdfunding (§ 227.100-503), this Form C has been signed by the following persons in the capacities and on the dates indicated.

Signature:

Amir Fassihi 

Title:

Founder and CEO 

Date:

04-22-2020