0001567619-21-000749.txt : 20210107 0001567619-21-000749.hdr.sgml : 20210107 20210107165540 ACCESSION NUMBER: 0001567619-21-000749 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20210107 DATE AS OF CHANGE: 20210107 EFFECTIVENESS DATE: 20210107 FILER: COMPANY DATA: COMPANY CONFORMED NAME: FormAssembly, Inc. CENTRAL INDEX KEY: 0001775649 IRS NUMBER: 901115819 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-385593 FILM NUMBER: 21514774 BUSINESS ADDRESS: STREET 1: 885 S COLLEGE MALL ROAD, #399 CITY: BLOOMINGTON STATE: IN ZIP: 47404 BUSINESS PHONE: 812-297-9228 MAIL ADDRESS: STREET 1: 885 S COLLEGE MALL ROAD, #399 CITY: BLOOMINGTON STATE: IN ZIP: 47404 D 1 primary_doc.xml X0708 D LIVE 0001775649 FormAssembly, Inc. 101 W. Kirkwood Ave #224 BLOOMINGTON IN INDIANA 47404 812-297-9228 DELAWARE Veer West LLC None Corporation true Cedric Savarese 101 W. Kirkwood Ave #224 Bloomington IN INDIANA 47404 Executive Officer Director George McCulloch 101 W. Kirkwood Ave #224 Bloomington IN INDIANA 47404 Director Other Technology Decline to Disclose 06b false 2020-12-30 false true false 0 2000000 2000000 0 false 1 0 0 0 false FormAssembly, Inc. Cedric Savarese Cedric Savarese Chief Executive Officer 2021-01-07