0001719324-17-000002.txt : 20171024 0001719324-17-000002.hdr.sgml : 20171024 20171024162058 ACCESSION NUMBER: 0001719324-17-000002 CONFORMED SUBMISSION TYPE: D/A PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20171024 DATE AS OF CHANGE: 20171024 EFFECTIVENESS DATE: 20171024 FILER: COMPANY DATA: COMPANY CONFORMED NAME: FORGE NANO, INC. CENTRAL INDEX KEY: 0001719324 IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D/A SEC ACT: 1933 Act SEC FILE NUMBER: 021-297179 FILM NUMBER: 171151158 BUSINESS ADDRESS: STREET 1: 1172 W. CENTURY DRIVE STREET 2: #240 CITY: LOUISVILLE STATE: CO ZIP: 80027 BUSINESS PHONE: 503-453-5172 MAIL ADDRESS: STREET 1: 1172 W. CENTURY DRIVE STREET 2: #240 CITY: LOUISVILLE STATE: CO ZIP: 80027 D/A 1 primary_doc.xml X0708 D/A LIVE 0001719324 FORGE NANO, INC. 1172 W. CENTURY DRIVE #240 LOUISVILLE CO COLORADO 80027 503-453-5172 DELAWARE Pneumaticoat Technologies LLC None Corporation true Jack McFarland 1172 W. Century Drive #240 Louisville CO COLORADO 80027 Executive Officer Paul Lichty 1172 W. Century Drive #240 Louisville CO COLORADO 80027 Executive Officer Director James Trevey 1172 W. Century Drive #240 Louisville CO COLORADO 80027 Executive Officer Director Bill Flecky 1172 W. Century Drive #240 Louisville CO COLORADO 80027 Executive Officer Dennis Townsend 1172 W. Century Drive #240 Louisville CO COLORADO 80027 Director David King 1172 W. Century Drive #240 Louisville CO COLORADO 80027 Director Manufacturing Decline to Disclose 06b true 0001719324-17-000001 2017-09-29 false true true Convertible notes convertible into equity securities of the Issuer false 50000 Silver Leaf Partners, LLC 126694 Silver Leaf Partners, LLC 126694 420 Lexington Avenue Suite 2805 New York NY NEW YORK 10170 AL ALABAMA AZ ARIZONA CA CALIFORNIA CO COLORADO CT CONNECTICUT DE DELAWARE DC DISTRICT OF COLUMBIA FL FLORIDA IN INDIANA NY NEW YORK OH OHIO OR OREGON VA VIRGINIA false 3500000 3035000 465000 false 25 106750 0 0 false FORGE NANO, INC. /s/ Jack McFarland Jack McFarland Chief Financial Officer 2017-10-23