0001577301-17-000001.txt : 20170209 0001577301-17-000001.hdr.sgml : 20170209 20170209122514 ACCESSION NUMBER: 0001577301-17-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20170209 DATE AS OF CHANGE: 20170209 EFFECTIVENESS DATE: 20170209 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Forsake, Inc. CENTRAL INDEX KEY: 0001577301 IRS NUMBER: 462798589 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-280379 FILM NUMBER: 17586392 BUSINESS ADDRESS: STREET 1: 119 BRAINTREE STREET, SUITE 414 CITY: BOSTON STATE: MA ZIP: 02134 BUSINESS PHONE: 585-576-6358 MAIL ADDRESS: STREET 1: 119 BRAINTREE STREET, SUITE 414 CITY: BOSTON STATE: MA ZIP: 02134 D 1 primary_doc.xml X0707 D LIVE 0001577301 Forsake, Inc. 119 BRAINTREE STREET, SUITE 414 BOSTON MA MASSACHUSETTS 02134 585-576-6358 DELAWARE Elevation Footwear, LLC None Corporation true 2013 Jacob Anderson 119 Braintree St., Suite 414 Boston MA MASSACHUSETTS 02134 Executive Officer Director Promoter Samuel Barstow 119 Braintree St., Suite 414 Boston MA MASSACHUSETTS 02134 Executive Officer Director Promoter Manufacturing Decline to Disclose 06b false 2017-01-26 false true false 0 Fundme Securities, LLC 161785 None None 30 Maiden Lane, Floor 6 San Francisco CA CALIFORNIA 94108 All States false 2000000 465000 1535000 false 4 5000 true 0 true 60000 true false Forsake, Inc. /s/ Jacob Anderson Jacob Anderson Chief Executive Officer 2017-01-31