0001763666-21-000005.txt : 20211029 0001763666-21-000005.hdr.sgml : 20211029 20211029104038 ACCESSION NUMBER: 0001763666-21-000005 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20211029 DATE AS OF CHANGE: 20211029 EFFECTIVENESS DATE: 20211029 FILER: COMPANY DATA: COMPANY CONFORMED NAME: SimpleBet, Inc. CENTRAL INDEX KEY: 0001763666 IRS NUMBER: 825477590 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-419171 FILM NUMBER: 211361381 BUSINESS ADDRESS: STREET 1: 373 PARK AVENUE SOUTH STREET 2: 9TH FLOOR CITY: NEW YORK STATE: NY ZIP: 10016 BUSINESS PHONE: 646-590-9002 MAIL ADDRESS: STREET 1: 373 PARK AVENUE SOUTH STREET 2: 9TH FLOOR CITY: NEW YORK STATE: NY ZIP: 10016 D 1 primary_doc.xml X0708 D LIVE 0001763666 SimpleBet, Inc. 373 PARK AVENUE SOUTH 9TH FLOOR NEW YORK NY NEW YORK 10016 646-590-9002 DELAWARE None None Corporation true 2018 Christopher Myles Bevilacqua 373 Park Avenue South 9th Floor New York NY NEW YORK 10016 Executive Officer Director Melissa Davis 373 Park Avenue South 9th Floor New York NY NEW YORK 10016 Executive Officer Director Gregory Elinsky 373 Park Avenue South 9th Floor New York NY NEW YORK 10016 Director Jim Murren 373 Park Avenue South 9th Floor New York NY NEW YORK 10016 Director Patrick Ramsey 373 Park Avenue South 9th Floor New York NY NEW YORK 10016 Director Other Decline to Disclose 06b false 2021-10-15 false true false 0 27795889 27795889 0 $15,646,995.96 correspond to the conversion of Convertible Promissory Notes. false 108 0 0 0 false SimpleBet, Inc. /s/ Christopher Bevilacqua Christopher Bevilacqua Chief Executive Officer 2021-10-29