0001719324-19-000001.txt : 20190107 0001719324-19-000001.hdr.sgml : 20190107 20190107145602 ACCESSION NUMBER: 0001719324-19-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20190107 DATE AS OF CHANGE: 20190107 EFFECTIVENESS DATE: 20190107 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 SEC ACT: 1933 Act SEC FILE NUMBER: 021-329828 FILM NUMBER: 19513118 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 1 primary_doc.xml X0708 D LIVE 0001719324 FORGE NANO, INC. 1172 W. CENTURY DRIVE #240 LOUISVILLE CO COLORADO 80027 503-453-5172 DELAWARE Pneumaticoat Technologies LLC None Corporation true Paul Lichty 1172 W. CENTURY DRIVE #240 Louisville CO COLORADO 80027 Executive Officer Director Jack McFarland 1172 W. CENTURY DRIVE #240 Louisville CO COLORADO 80027 Executive Officer James Trevey 1172 W. CENTURY DRIVE #240 Louisville CO COLORADO 80027 Director David King 1172 W. CENTURY DRIVE #240 Louisville CO COLORADO 80027 Director Dennis Townsend 1172 W. CENTURY DRIVE #240 Louisville CO COLORADO 80027 Director Michael Danner 1172 W. CENTURY DRIVE #240 Louisville CO COLORADO 80027 Director Reuben Sarkar 1172 W. CENTURY DRIVE #240 Louisville CO COLORADO 80027 Executive Officer Manufacturing Decline to Disclose 06b false 2018-12-23 false true true true Convertible preferred stock false 25000 Silver Leaf Partners, LLC 126694 Silver Leaf Partners, LLC 126694 420 Lexington Avenue, Suite 2805 New York NY NEW YORK 10170 AL ALABAMA CA CALIFORNIA CO COLORADO CT CONNECTICUT DE DELAWARE DC DISTRICT OF COLUMBIA FL FLORIDA IN INDIANA IA IOWA NY NEW YORK OH OHIO OR OREGON VA VIRGINIA false 31007690 21007690 10000000 Amount sold includes value assigned to converting note holders false 33 110550 0 0 false FORGE NANO, INC. /s/ Jack McFarland Jack McFarland Chief Financial Officer 2019-01-07