0001647635-20-000003.txt : 20201202 0001647635-20-000003.hdr.sgml : 20201202 20201202172352 ACCESSION NUMBER: 0001647635-20-000003 CONFORMED SUBMISSION TYPE: D/A PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20201202 DATE AS OF CHANGE: 20201202 EFFECTIVENESS DATE: 20201202 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Forest Devices, Inc. CENTRAL INDEX KEY: 0001647635 IRS NUMBER: 473861499 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D/A SEC ACT: 1933 Act SEC FILE NUMBER: 021-379119 FILM NUMBER: 201364817 BUSINESS ADDRESS: STREET 1: 544 MILTENBERGER ST. CITY: PITTSBURGH STATE: PA ZIP: 15219 BUSINESS PHONE: 412-568-8800 MAIL ADDRESS: STREET 1: 544 MILTENBERGER ST. CITY: PITTSBURGH STATE: PA ZIP: 15219 D/A 1 primary_doc.xml X0708 D/A LIVE 0001647635 Forest Devices, Inc. 544 MILTENBERGER ST. PITTSBURGH PA PENNSYLVANIA 15219 412-568-8800 DELAWARE None None Corporation true Matthew Kesinger c/o Forest Devices, Inc. 544 MILTENBERGER ST. Pittsburgh PA PENNSYLVANIA 15219 Executive Officer Director Daniel Willis c/o Forest Devices, Inc. 544 MILTENBERGER ST. Pittsburgh PA PENNSYLVANIA 15219 Executive Officer David Motley c/o Forest Devices, Inc. 544 MILTENBERGER ST. Pittsburgh PA PENNSYLVANIA 15219 Director Stephen Morrow c/o Forest Devices, Inc. 544 MILTENBERGER ST. Pittsburgh PA PENNSYLVANIA 15219 Executive Officer Ashok Rao c/o Forest Devices, Inc. 544 MILTENBERGER ST. Pittsburgh PA PENNSYLVANIA 15219 Director Ian Colrain c/o Forest Devices, Inc. 544 MILTENBERGER ST. Pittsburgh PA PENNSYLVANIA 15219 Director Carmelo Montalvo c/o Forest Devices, Inc. 544 MILTENBERGER ST. Pittsburgh PA PENNSYLVANIA 15219 Executive Officer Other Health Care Decline to Disclose 06b true 0001647635-20-000002 2020-10-13 false true Convertible notes and SAFEs false 25000 2000000 1322500 677500 false 9 0 0 0 The number above excludes use of proceeds for normal salaries and bonuses to executive officers. false Forest Devices, Inc. /s/ Stephen Morrow Stephen Morrow Chief Financial Officer 2020-12-02