Specialized Disclosure Report (sd)
May 29 2020 - 10:15AM
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UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549
FORM SD
Specialized Disclosure Report
Lifeloc Technologies, Inc.
(Exact name of registrant as specified in
its charter)
LIFELOC TECHNOLOGIES, INC.
(Exact name of registrant as specified
in its charter)
Colorado
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000-54319
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84-1053680
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(State or other jurisdiction of incorporation or organization)
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(Commission File Number)
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(I.R.S. Employer Identification No.)
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12441 W 49th Ave., Suite 4,
Wheat Ridge, Colorado
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80033
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(Address of principal executive offices)
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(Zip Code)
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Shelley Shinley
Supply Chain Manager
303-431-9500
(Name and telephone number, including area code,
of the person to contact in connection with
this report.)
Check the appropriate box to indicate the rule pursuant to
which this form is being filed, and provide the period to which the information in this form applies:
x
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Rule 13p-1 under the Securities Exchange Act (17 CFR 240.13p-1) for the reporting period from January 1 to December 31, 2019.
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Section 1 – Conflict Minerals Disclosure
Item 1.01 Conflict Minerals Disclosure and Report, Exhibit
A copy of Lifeloc Technologies, Inc.’s Conflict Minerals Report
is filed as Exhibit 1.01 hereto.
Item 1.02 Exhibits
See Section 2.
Section 2 – Exhibits
Item 2.01 Exhibits
The following exhibit is filed as part of this report:
Exhibit 1.01 — Conflict Minerals Report as required by Items
1.01 and 1.02 of this Form.
SIGNATURES
Pursuant to the requirements of the Securities Exchange Act of 1934,
the registrant has duly caused this report to be signed on its behalf by the duly authorized undersigned.
Lifeloc Technologies, Inc.
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(Registrant)
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/s/ Wayne R. Willkomm
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May 28, 2020
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By Wayne R. Willkomm, Ph.D., President and Chief Executive Officer
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(Date)
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