0001243233-23-000002.txt : 20230621 0001243233-23-000002.hdr.sgml : 20230621 20230621121223 ACCESSION NUMBER: 0001243233-23-000002 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20230621 DATE AS OF CHANGE: 20230621 EFFECTIVENESS DATE: 20230621 FILER: COMPANY DATA: COMPANY CONFORMED NAME: System Initiative, Inc. CENTRAL INDEX KEY: 0001783955 IRS NUMBER: 841997091 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-484717 FILM NUMBER: 231028638 BUSINESS ADDRESS: STREET 1: 548 MARKET STREET STREET 2: SUITE 66061 CITY: SAN FRANCISCO STATE: CA ZIP: 94104 BUSINESS PHONE: 310-773-7664 MAIL ADDRESS: STREET 1: 548 MARKET STREET STREET 2: SUITE 66061 CITY: SAN FRANCISCO STATE: CA ZIP: 94104 D 1 primary_doc.xml X0708 D LIVE 0001783955 System Initiative, Inc. 548 MARKET STREET SUITE 66061 SAN FRANCISCO CA CALIFORNIA 94104 (415) 237-3614 DELAWARE None None Corporation true 2019 Adam Brent Jacob c/o System Initiative, Inc. 548 Market Street, Suite 66061 San Francisco CA CALIFORNIA 94104 Executive Officer Director Mahir Lupinacci c/o System Initiative, Inc. 548 Market Street, Suite 66061 San Francisco CA CALIFORNIA 94104 Executive Officer Sunil Dhaliwal c/o Amplify Partners 800 Menlo Avenue, Suite 220 Menlo Park CA CALIFORNIA 94025 Director Ariel Tseitlin c/o Scale Venture Partners 950 Tower Lane, Suite 1150 Foster City CA CALIFORNIA 94404 Director Other Technology Decline to Disclose 06b false 2021-10-06 false true true Series A Preferred Stock and Common Stock issuable upon conversion false 0 15000000 15000000 0 false 5 0 0 0 false System Initiative, Inc. /s/ Adam Brent Jacob Adam Brent Jacob Chief Executive Officer 2023-06-21