FORM C FORM C/A UNITED STATES SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 OMB APPROVAL OMB Number: #### #### Estimated average burden hours per response: ##.# Form C: Filer Information Filer CIK: 0001679413 Filer CCC: XXXXXXXX File Number: 020 22936 Is this a LIVE or TEST Filing? LIVE TEST Is this an electronic copy of an official filing submitted in paper format in connection with a hardship exemption? Would you like a Return Copy? Submission Contact Information Name: Phone Number: Contact E Mail Address: Notify via Filing Website only? Form C: Issuer Information Issuer Information Name of Issuer: Lifeblink Inc Check box if Amendment is material and investors will have five business days to reconfirm Describe the Nature of the Amendment: Issuer has amended its offering page to reflect a new product that the Issuer is now offering. Legal Status of Issuer: Form: Corporation Jurisdiction of Incorporation/Organization: DELAWARE Date of Incorporation/Organization: Physical Address of Issuer: Address 1: 04 20 2016 8 OLD SALEM ROAD City: CHERRY HILL State/Country: NEW JERSEY Mailing Zip/Postal Code: Website of Issuer: 08034 www.lifeblink.com Intermediary through which the Offering will be Conducted: CIK: 0001320303 Company Name:
Company Name: FLASHFUNDERS SECURITIES, LLC Commission File Number: CRD Number: 008 66859 000134742 Form C: Offering Information Offering Information Amount of compensation to be paid to the intermediary, whether as a dollar amount or a percentage of the offering amount, or a good faith estimate if the exact amount is not available at the time of the filing, for conducting the offering, including the amount of referral and any other fees associated with the offering: Type of Security Offered: FlashFunders shall be entitled to compensation for services equal to five percent (5%) of gross proceeds, and be entitled t reimbursement for out of pocket third party expenses it pays or incurs on behalf of the Issuer in connection with the offerin Preferred Stock Target Number of Securities to be Offered: 50000 Price: Price (or Method for Determining Price): Target Offering Amount: 1.00000 The price of securities being offered by the issuer has been established by the marketplace of similar technology platforms the current early state of growth of the company. 5000 Maximum Offering Amount (if different from Target Offering Amount): 10000 Oversubscriptions Accepted: Yes No If yes, disclose how oversubscriptions will be allocated: Provide a description: Other At the Issuer's discretion. Deadline to reach the Target Offering Amount: 10 28 2016 NOTE: If the sum of the investment commitments does not equal or exceed the target offering amount at the offering deadline, no securities will be sold in the offering, investment commitments will be cancelled and committed funds will be returned. Form C: Annual Report Disclosure Requirements Annual Report Disclosure Requirements Current Number of Employees: 4 Total Assets Most Recent Fiscal Year end: Total Assets Prior Fiscal Year end: 39302.00 32769.00 Cash and Cash Equivalents Most Recent Fiscal Year end: 857.00 Cash and Cash Equivalents Prior Fiscal Year end: 2769.00 Accounts Receivable Most Recent Fiscal Year end: Accounts Receivable Prior Fiscal Yearend: Short term Debt Most Recent Fiscal Yearend:
Short term Debt Prior Fiscal Year end: Long term Debt Most Recent Fiscal Yearend: 2902 Long term Debt Prior Fiscal Year end: 2030 Revenue/Sales Most Recent Fiscal Yearend: 107.00 Revenue/Sales Prior Fiscal Year end: Cost of Goods Sold Most Recent Fiscal Year end: Cost of Goods Sold Prior Fiscal Year end: Taxes Paid Most Recent Fiscal Year end: Taxes Paid Prior Fiscal Year end: Net Income Most Recent Fiscal Year end: Net Income Prior Fiscal Year end: 50 10256.00 2531.00 ALABAMA ALASKA ARIZONA ARKANSAS CALIFORNIA COLORADO CONNECTICUT DELAWARE DISTRICT OF COLUMBIA FLORIDA GEORGIA HAWAII IDAHO ILLINOIS
INDIANA IOWA KANSAS KENTUCKY LOUISIANA MAINE MARYLAND MASSACHUSETTS MICHIGAN MINNESOTA MISSISSIPPI MISSOURI MONTANA NEBRASKA NEVADA NEW HAMPSHIRE NEW JERSEY NEW MEXICO NEW YORK NORTH CAROLINA NORTH DAKOTA OHIO
OKLAHOMA OREGON PENNSYLVANIA PUERTO RICO RHODE ISLAND SOUTH CAROLINA SOUTH DAKOTA TENNESSEE TEXAS UTAH VERMONT VIRGINIA WASHINGTON WEST VIRGINIA WISCONSIN WYOMING ALBERTA, CANADA BRITISH COLUMBIA, CANADA MANITOBA, CANADA NEW BRUNSWICK, CANADA NEWFOUNDLAND, CANADA NOVA SCOTIA, CANADA ONTARIO, CANADA
PRINCE EDWARD ISLAND, CANADA QUEBEC, CANADA SASKATCHEWAN, CANADA YUKON, CANADA CANADA (FEDERAL LEVEL) 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: Lifeblink Inc Signature: /s/ Dave Girgenti Title: 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: /s/ Dave Girgenti Title: CEO Date: 09 27 2016