0001673293-16-000001.txt : 20160523 0001673293-16-000001.hdr.sgml : 20160523 20160520175809 ACCESSION NUMBER: 0001673293-16-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06c FILED AS OF DATE: 20160523 DATE AS OF CHANGE: 20160520 EFFECTIVENESS DATE: 20160523 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Form 3D Foundry LLC CENTRAL INDEX KEY: 0001673293 IRS NUMBER: 472087682 STATE OF INCORPORATION: OR FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-263635 FILM NUMBER: 161667448 BUSINESS ADDRESS: STREET 1: 2808 SE 9TH AVE CITY: PORTLAND STATE: OR ZIP: 97202 BUSINESS PHONE: 5038163330 MAIL ADDRESS: STREET 1: 2808 SE 9TH AVE CITY: PORTLAND STATE: OR ZIP: 97202 D 1 primary_doc.xml X0707 D LIVE 0001673293 Form 3D Foundry LLC 2808 SE 9TH AVE PORTLAND OR OREGON 97202 5038163330 OREGON Form Foundry, LLC None Limited Liability Company true 2014 Rob Arps 2808 SE 9th Ave. Portland OR OREGON 97202 Executive Officer Owner/Founder/Managing Member Troy Konig-Wilcox 2808 SE 9th Ave. Portland OR OREGON 97202 Executive Officer Co-Founder/Chief Operating Officer/Member Rick Lawler 2808 SE 9th Ave. Portland OR OREGON 97202 Executive Officer Director of Operations/Member Takeyoshi O'Dell-Horie 2808 SE 9th Ave. Portland OR OREGON 97202 Executive Officer Director of Digital Modeling/Member Chad Scott 2808 SE 9th Ave. Portland OR OREGON 97202 Executive Officer Director of Digital Scanning and Services/Member Steve Christman 2808 SE 9th Ave. Portland OR OREGON 97202 Executive Officer Production Manager/Member Allan Hendrickson 2808 SE 9th Ave. Portland OR OREGON 97202 Executive Officer VP of Sales and Marketing Manufacturing Decline to Disclose 06c false true false true false 25000 10000000 0 10000000 false 0 0 true 0 true 345000 true 2-Year Employment Contract unpaid to Allan Hendrickson, VP of Sales and Marketing false Form 3D Foundry LLC Rob Arps Rob Arps Founder 2016-05-20