0001997664-23-000001.txt : 20231020 0001997664-23-000001.hdr.sgml : 20231020 20231020163200 ACCESSION NUMBER: 0001997664-23-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20231020 DATE AS OF CHANGE: 20231020 EFFECTIVENESS DATE: 20231020 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: 021-495342 FILM NUMBER: 231337455 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, SUITE 850 SANTA CLARA CA CALIFORNIA 95054 571-353-1474 DELAWARE None None Corporation true Balan Ayyar c/o Percipient.ai Inc. 3975 Freedom Circle, Suite 850 Santa Clara CA CALIFORNIA 95054 Executive Officer Director Rajendra Shah c/o Percipient.ai Inc. 3975 Freedom Circle, Suite 850 Santa Clara CA CALIFORNIA 95054 Executive Officer Director Steve Mullins c/o Percipient.ai Inc. 3975 Freedom Circle, Suite 850 Santa Clara CA CALIFORNIA 95054 Executive Officer Nick Beim c/o Percipient.ai Inc. 3975 Freedom Circle, Suite 850 Santa Clara CA CALIFORNIA 95054 Director Ben Fitzgerald c/o Percipient.ai Inc. 3975 Freedom Circle, Suite 850 Santa Clara CA CALIFORNIA 95054 Director Michael Marks c/o Percipient.ai Inc. 3975 Freedom Circle, Suite 850 Santa Clara CA CALIFORNIA 95054 Director Other Technology Decline to Disclose 06b false 2023-10-10 false true true true false 0 15041148 8499999 6541149 false 4 0 0 0 false Percipient.ai Inc. /s/ Balan Ayyar Balan Ayyar Chief Executive Officer 2023-10-19