0001213900-21-006038.txt : 20210202
0001213900-21-006038.hdr.sgml : 20210202
20210202125535
ACCESSION NUMBER: 0001213900-21-006038
CONFORMED SUBMISSION TYPE: D
PUBLIC DOCUMENT COUNT: 1
ITEM INFORMATION: 06b
FILED AS OF DATE: 20210202
DATE AS OF CHANGE: 20210202
EFFECTIVENESS DATE: 20210202
FILER:
COMPANY DATA:
COMPANY CONFORMED NAME: Ambulant, Inc.
CENTRAL INDEX KEY: 0001625929
IRS NUMBER: 461364822
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: D
SEC ACT: 1933 Act
SEC FILE NUMBER: 021-388124
FILM NUMBER: 21579948
BUSINESS ADDRESS:
STREET 1: 360 SW BOND ST. SUITE 310
CITY: BEND
STATE: OR
ZIP: 97702
BUSINESS PHONE: 206-234-4400
MAIL ADDRESS:
STREET 1: 360 SW BOND ST. SUITE 310
CITY: BEND
STATE: OR
ZIP: 97702
D
1
primary_doc.xml
X0708
D
LIVE
0001625929
Ambulant, Inc.
360 SW BOND ST., SUITE 310
BEND
OR
OREGON
97702
541 862 1446
DELAWARE
None
None
Corporation
true
Steve
Elwell
360 SW Bond St., Suite 310
BEND
OR
OREGON
97702
Executive Officer
Director
Chief Executive Officer
Cole
McGowan
360 SW Bond St., Suite 310
BEND
OR
OREGON
97702
Executive Officer
Chief Operating Officer
Maarten
Dinger
360 SW Bond St., Suite 310
BEND
OR
OREGON
97702
Executive Officer
Chief Development Officer
Michael
McGowan
360 SW Bond St., Suite 310
BEND
OR
OREGON
97702
Director
Joe
Perry
360 SW Bond St., Suite 310
BEND
OR
OREGON
97702
Director
Other Technology
Decline to Disclose
- 06b
false
2020-09-28
false
true
true
true
true
Preferred stock and warrants convertible into preferred stock
false
25000
None
None
Sutter Securities
134742
12 GEARY ST, SUITE 402
SAN FRANCISCO
CA
CALIFORNIA
94108
CA
CALIFORNIA
ID
IDAHO
NC
NORTH CAROLINA
false
1225000
1225000
0
false
3
98000
0
In addition, the Company paid a $25,000 cash advisory fee and issued placement agent warrants to purchase shares of series seed preferred stock initially exercisable for 8% of the shares issued in the offering.
0
false
Ambulant, Inc.
/s/ Steve Elwell
Steve Elwell
CEO
2021-02-02