0001647635-21-000001.txt : 20210322 0001647635-21-000001.hdr.sgml : 20210322 20210322110513 ACCESSION NUMBER: 0001647635-21-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20210322 DATE AS OF CHANGE: 20210322 EFFECTIVENESS DATE: 20210322 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 SEC ACT: 1933 Act SEC FILE NUMBER: 021-392988 FILM NUMBER: 21760476 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 1 primary_doc.xml X0708 D 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 false 2021-03-09 false true SAFEs false 10000 250000 250000 0 false 4 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 2021-03-22