0001620433-18-000001.txt : 20180111 0001620433-18-000001.hdr.sgml : 20180111 20180110203257 ACCESSION NUMBER: 0001620433-18-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20180111 DATE AS OF CHANGE: 20180110 EFFECTIVENESS DATE: 20180111 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Forelight, Inc. CENTRAL INDEX KEY: 0001620433 IRS NUMBER: 464448782 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-302939 FILM NUMBER: 18522554 BUSINESS ADDRESS: STREET 1: 3440 S. DEARBORN STREET STREET 2: SUITE 138S CITY: CHICAGO STATE: IL ZIP: 60616 BUSINESS PHONE: 7734515309 MAIL ADDRESS: STREET 1: 3440 S. DEARBORN STREET STREET 2: SUITE 138S CITY: CHICAGO STATE: IL ZIP: 60616 D 1 primary_doc.xml X0708 D LIVE 0001620433 Forelight, Inc. 2429 West Burr Oak Avenue Blue Island IL ILLINOIS 60406 7734515309 DELAWARE None None Corporation true 2013 Timothy Fitzgerald 2429 West Burr Oak Avenue Blue Island IL ILLINOIS 60406 Executive Officer Director Sanjeev Krishnan 2429 West Burr Oak Avenue Blue Island IL ILLINOIS 60406 Director Adam Flynn 2429 West Burr Oak Avenue Blue Island IL ILLINOIS 60406 Director Other Technology Decline to Disclose 06b false 2017-12-26 false true true Series A Preferred Stock and Common Stock issuable upon conversion of Series A Preferred Stock false 0 5675697 5675697 0 false 20 0 0 289506 false Forelight, Inc. /s/ Timothy Fitzgerald Timothy Fitzgerald Chief Executive Officer 2018-01-10