0001763872-21-000002.txt : 20210914 0001763872-21-000002.hdr.sgml : 20210914 20210913180207 ACCESSION NUMBER: 0001763872-21-000002 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20210914 DATE AS OF CHANGE: 20210913 EFFECTIVENESS DATE: 20210914 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Cleanbox Technology, Inc. CENTRAL INDEX KEY: 0001763872 IRS NUMBER: 830896376 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-413203 FILM NUMBER: 211250659 BUSINESS ADDRESS: STREET 1: 3129 TIGER RUN COURT STREET 2: SUITE 118 CITY: CARLSBAD STATE: CA ZIP: 92010 BUSINESS PHONE: 7603858820 MAIL ADDRESS: STREET 1: 3129 TIGER RUN COURT STREET 2: SUITE 118 CITY: CARLSBAD STATE: CA ZIP: 92010 FORMER COMPANY: FORMER CONFORMED NAME: Cleanbox Technology Inc. DATE OF NAME CHANGE: 20190108 D 1 primary_doc.xml X0708 D LIVE 0001763872 Cleanbox Technology, Inc. 222 2nd Avenue South 17th Floor Nashville TN TENNESSEE 37201 615-208-4042 DELAWARE Cleanbox Technology Inc. Corporation true 2018 Amy Hedrick 222 2nd Avenue South 17th Floor Nashville TN TENNESSEE 37201 Executive Officer Director David Georgeson 222 2nd Avenue South 17th Floor Nashville TN TENNESSEE 37201 Executive Officer Director Melanie Hedrick 222 2nd Avenue South 17th Floor Nashville TN TENNESSEE 37201 Executive Officer Manufacturing Decline to Disclose 06b false 2021-08-30 false true true true Convertible Promissory Note false 10000 1500000 230000 1270000 false 4 0 0 0 true Offering proceeds used for working capital purposes. Working capital is used to pay regular compensation to executive officers. false Cleanbox Technology, Inc. /s/ Amy Hedrick Amy Hedrick Chief Executive Officer 2021-09-13