0001646721-15-000001.txt : 20150702 0001646721-15-000001.hdr.sgml : 20150702 20150702161541 ACCESSION NUMBER: 0001646721-15-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: Rule 505 FILED AS OF DATE: 20150702 DATE AS OF CHANGE: 20150702 EFFECTIVENESS DATE: 20150702 FILER: COMPANY DATA: COMPANY CONFORMED NAME: form.io LLC CENTRAL INDEX KEY: 0001646721 IRS NUMBER: 473405242 STATE OF INCORPORATION: TX FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-243031 FILM NUMBER: 15969963 BUSINESS ADDRESS: STREET 1: 3411 POTOMAC AVE CITY: DALLAS STATE: TX ZIP: 75205 BUSINESS PHONE: 2142368899 MAIL ADDRESS: STREET 1: 3411 POTOMAC AVE CITY: DALLAS STATE: TX ZIP: 75205 D 1 primary_doc.xml X0707 D LIVE 0001646721 form.io LLC 3411 POTOMAC AVE DALLAS TX TEXAS 75205 2142368899 TEXAS None None Limited Liability Company true 2015 Gary Wetzel 3411 Potomac Dallas TX TEXAS 75205 Executive Officer Director Manager; CEO Denise Kay 3411 Potomac Dallas TX TEXAS 75205 Director Manager Travis Tidwell 3411 Potomac Dallas TX TEXAS 75205 Director Manager Other Technology Decline to Disclose 05 false 2015-05-27 false true false 0 500000 251500 248500 true 12 12 0 0 0 false form.io LLC /Gary Wetzel/ Gary Wetzel Manager 2015-07-02