0001213900-21-060495.txt : 20211118 0001213900-21-060495.hdr.sgml : 20211118 20211118142719 ACCESSION NUMBER: 0001213900-21-060495 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20211118 DATE AS OF CHANGE: 20211118 EFFECTIVENESS DATE: 20211118 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: 021-421672 FILM NUMBER: 211423876 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 2021-11-03 false true true true true Preferred stock and warrants convertible into preferred stock false 15000 None None Sutter Securities 134742 12 GEARY ST, SUITE 402 SAN FRANCISCO CA CALIFORNIA 94108 CA CALIFORNIA NV NEVADA false 890102 890102 0 false 10 71208 0 In addition, the Company paid a $25,000 cash advisory fee and issued placement agent warrants to purchase 8% of (i) the Series B shares sold to investors and (ii) Series B shares underlying the investor warrants 0 false Ambulant, Inc. /s/ Steve Elwell Steve Elwell CEO 2021-11-18