0001765349-21-000005.txt : 20210707 0001765349-21-000005.hdr.sgml : 20210707 20210707160219 ACCESSION NUMBER: 0001765349-21-000005 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20210707 DATE AS OF CHANGE: 20210707 EFFECTIVENESS DATE: 20210707 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: 021-405478 FILM NUMBER: 211077451 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 5034223922 DELAWARE None None Corporation true 2019 Derek Martin 295 Interlocken Blvd. Suite 100 Broomfield CO COLORADO 80021 Executive Officer Caleb Carr 295 Interlocken Blvd. Suite 100 Broomfield CO COLORADO 80021 Executive Officer Director Derek Sikora 295 Interlocken Blvd. Suite 100 Broomfield CO COLORADO 80021 Executive Officer Director Warren Katz 295 Interlocken Blvd. Suite 100 Broomfield CO COLORADO 80021 Director Michael Maurer 295 Interlocken Blvd. Suite 100 Broomfield CO COLORADO 80021 Director Patrick Murphy 295 Interlocken Blvd. Suite 100 Broomfield CO COLORADO 80021 Director William Roper 295 Interlocken Blvd. Suite 100 Broomfield CO COLORADO 80021 Director Other Technology Decline to Disclose 06b false 2021-06-16 false true true true Convertible Promissory Notes and equity securities (Series B Preferred shares) issuable upon conversion. false 0 Indefinite 2801000 Indefinite false 7 0 0 0 false Vita Inclinata Technologies, Inc. /s/ Caleb Carr Caleb Carr Chief Executive Officer 2021-07-07