0001615530-21-000001.txt : 20210217 0001615530-21-000001.hdr.sgml : 20210217 20210217165533 ACCESSION NUMBER: 0001615530-21-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20210217 DATE AS OF CHANGE: 20210217 EFFECTIVENESS DATE: 20210217 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Modifi, Inc. CENTRAL INDEX KEY: 0001615530 IRS NUMBER: 471006429 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-389741 FILM NUMBER: 21645721 BUSINESS ADDRESS: STREET 1: 717 MOJI LN. CITY: BAINBRIDGE ISLAND STATE: WA ZIP: 98110 BUSINESS PHONE: (206) 604-9818 MAIL ADDRESS: STREET 1: 717 MOJI LN. CITY: BAINBRIDGE ISLAND STATE: WA ZIP: 98110 D 1 primary_doc.xml X0708 D LIVE 0001615530 Modifi, Inc. 717 MOJI LN. BAINBRIDGE ISLAND WA WASHINGTON 98110 (206) 604-9818 DELAWARE None None Corporation true James A. Poss 717 Moji Ln NW Bainbridge Island WA WASHINGTON 98110 Executive Officer Director Other Decline to Disclose 06b false 2021-01-21 false true true true Convertible note debt for a total of $210,000 false 0 210000 210000 0 false 9 0 0 0 false Modifi, Inc. James A. Poss James A. Poss President 2021-02-17