0001702197-21-000001.txt : 20210423 0001702197-21-000001.hdr.sgml : 20210423 20210423134542 ACCESSION NUMBER: 0001702197-21-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20210423 DATE AS OF CHANGE: 20210423 EFFECTIVENESS DATE: 20210423 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Percipient.ai Inc. CENTRAL INDEX KEY: 0001702197 IRS NUMBER: 815054389 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-396963 FILM NUMBER: 21848758 BUSINESS ADDRESS: STREET 1: 530 LAKESIDE DRIVE, SUITE 290 CITY: SUNNYVALE STATE: CA ZIP: 94085 BUSINESS PHONE: 571-395-7288 MAIL ADDRESS: STREET 1: 530 LAKESIDE DRIVE, SUITE 290 CITY: SUNNYVALE STATE: CA ZIP: 94085 D 1 primary_doc.xml X0708 D LIVE 0001702197 Percipient.ai Inc. 3975 Freedom Circle, Ste 850 Santa Clara CA CALIFORNIA 95054 (571) 353-1474 DELAWARE None None Corporation true 2017 Balan Ayyar c/o Percipient.ai Inc. 3975 Freedom Circle, Ste 850 Santa Clara CA CALIFORNIA 95054 Executive Officer Director Rajendra Shah c/o Percipient.ai Inc. 3975 Freedom Circle, Ste 850 Santa Clara CA CALIFORNIA 95054 Executive Officer Director Ben Fitzgerald c/o Percipient.ai Inc. 3975 Freedom Circle, Ste 850 Santa Clara CA CALIFORNIA 95054 Director Nick Beim c/o Percipient.ai Inc. 3975 Freedom Circle, Ste 850 Santa Clara CA CALIFORNIA 95054 Director Steve Mullins c/o Percipient.ai Inc. 3975 Freedom Circle, Ste 850 Santa Clara CA CALIFORNIA 95054 Executive Officer Other Technology Decline to Disclose 06b false 2021-04-09 false true false 0 49999997 49999997 0 false 9 0 0 0 false Percipient.ai Inc. /s/ Balan Ayyar Balan Ayyar Chief Executive Officer 2021-04-23