0001577301-14-000001.txt : 20141201 0001577301-14-000001.hdr.sgml : 20141201 20141201170310 ACCESSION NUMBER: 0001577301-14-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20141201 DATE AS OF CHANGE: 20141201 EFFECTIVENESS DATE: 20141201 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Forsake, Inc. CENTRAL INDEX KEY: 0001577301 IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-229257 FILM NUMBER: 141258366 BUSINESS ADDRESS: STREET 1: 257 DUNROVIN LANE CITY: ROCHESTER STATE: NY ZIP: 14618 BUSINESS PHONE: 585-576-6358 MAIL ADDRESS: STREET 1: 257 DUNROVIN LANE CITY: ROCHESTER STATE: NY ZIP: 14618 D 1 primary_doc.xml X0707 D LIVE 0001577301 Forsake, Inc. 257 DUNROVIN LANE ROCHESTER NY NEW YORK 14618 585-576-6358 DELAWARE Elevation Footwear, LLC None Corporation true 2013 Jacob Anderson 257 Dunrovin Lane Rochester NY NEW YORK 14618 Executive Officer Director Promoter Samuel Barstow 257 Dunrovin Lane Rochester NY NEW YORK 14618 Executive Officer Director Promoter Manufacturing Decline to Disclose 06b false 2014-11-20 false true true true false 0 250000 250000 0 false 1 0 0 50000 true false Forsake, Inc. /s/ Jacob Anderson Jacob Anderson Chief Executive Officer 2014-11-25