0001567619-21-007692.txt : 20210406 0001567619-21-007692.hdr.sgml : 20210406 20210406163954 ACCESSION NUMBER: 0001567619-21-007692 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20210406 DATE AS OF CHANGE: 20210406 EFFECTIVENESS DATE: 20210406 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Vita Inclinata Technologies, Inc. CENTRAL INDEX KEY: 0001765349 IRS NUMBER: 833188536 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-394840 FILM NUMBER: 21809562 BUSINESS ADDRESS: STREET 1: 295 INTERLOCKEN BLVD. STREET 2: SUITE #100 CITY: BROOMFIELD STATE: CO ZIP: 80021 BUSINESS PHONE: 5034223922 MAIL ADDRESS: STREET 1: 295 INTERLOCKEN BLVD. STREET 2: SUITE #100 CITY: BROOMFIELD STATE: CO ZIP: 80021 D 1 primary_doc.xml X0708 D LIVE 0001765349 Vita Inclinata Technologies, Inc. 295 Interlocken Blvd. Suite #100 Broomfield CO COLORADO 80021 503-422-3922 DELAWARE None None Corporation true 2019 Derek Martin Vita Inclinata Technologies, Inc. 295 Interlocken Blvd. Suite #100 Broomfield CO COLORADO 80021 Executive Officer Caleb Carr Vita inclinata Technologies, Inc. 295 Interlocken Blvd. Suite #100 Broomfield CO COLORADO 80021 Executive Officer Director Chief Executive Officer Derek Sikora Vita Inclinata Technologies, Inc. 295 Interlocken Blvd. Suite #100 Broomfield CO COLORADO 80021 Executive Officer Director Warren Katz Vita Inclinata Technologies, Inc. 295 Interlocken Blvd. Suite #100 Broomfield CO COLORADO 80021 Director Mick Maurer Vita Inclinata Technologies, Inc. 295 Interlocken Blvd. Suite #100 Broomfield CO COLORADO 80021 Director Patrick Murphy Vita Inclinata Technologies, Inc. 295 Interlocken Blvd. Suite #100 Broomfield CO COLORADO 80021 Director Will Roper Vita Inclinata Technologies, Inc. 295 Interlocken Blvd. Suite #100 Broomfield CO COLORADO 80021 Director Other Technology Decline to Disclose 06b false 2021-02-05 false true true true Convertible Promissory Notes and equity securities (Series B Preferred shares) issuable upon conversion false 0 10700000 10700000 0 false 6 0 0 0 false Vita Inclinata Technologies, Inc. /s/ Caleb Carr Caleb Carr Chief Executive Officer 2021-04-06