0001704274-21-000006.txt : 20211223 0001704274-21-000006.hdr.sgml : 20211223 20211223165409 ACCESSION NUMBER: 0001704274-21-000006 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20211223 DATE AS OF CHANGE: 20211223 EFFECTIVENESS DATE: 20211223 FILER: COMPANY DATA: COMPANY CONFORMED NAME: AlgometRx, Inc. CENTRAL INDEX KEY: 0001704274 IRS NUMBER: 475617313 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-426642 FILM NUMBER: 211517759 BUSINESS ADDRESS: STREET 1: 2844 28TH STREET NW CITY: WASHINGTON STATE: DC ZIP: 20008 BUSINESS PHONE: 2028410362 MAIL ADDRESS: STREET 1: 2844 28TH STREET NW CITY: WASHINGTON STATE: DC ZIP: 20008 D 1 primary_doc.xml X0708 D LIVE 0001704274 AlgometRx, Inc. 2844 28TH STREET NW WASHINGTON DC DISTRICT OF COLUMBIA 20008 2028410362 DELAWARE AlgometRx LLC None Corporation true Julia Finkel c/o AlgometRx, Inc. 2844 28th Street NW Washington DC DISTRICT OF COLUMBIA 20008 Director David Gross c/o AlgometRx, Inc. 2844 28th Street NW Washington DC DISTRICT OF COLUMBIA 20008 Executive Officer Director David Heller c/o AlgometRx, Inc. 2844 28th Street NW Washington DC DISTRICT OF COLUMBIA 20008 Director Other Technology Decline to Disclose 06b false 2021-09-30 false true true true Simple Agreement for Future Equity ("SAFE") and the shares of preferred or common stock issuable upon conversion. false 10000 2000000 875000 1125000 false 19 0 0 0 false AlgometRx, Inc. David Gross David Gross Executive Chairman 2021-12-23