0001792400-22-000001.txt : 20220524 0001792400-22-000001.hdr.sgml : 20220524 20220524172056 ACCESSION NUMBER: 0001792400-22-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20220524 DATE AS OF CHANGE: 20220524 EFFECTIVENESS DATE: 20220524 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Planet Forward Inc. CENTRAL INDEX KEY: 0001792400 IRS NUMBER: 842169968 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-446861 FILM NUMBER: 22958138 BUSINESS ADDRESS: STREET 1: 1736 16TH STREET CITY: OAKLAND STATE: CA ZIP: 94607 BUSINESS PHONE: 917-202-3425 MAIL ADDRESS: STREET 1: 1736 16TH STREET CITY: OAKLAND STATE: CA ZIP: 94607 D 1 primary_doc.xml X0708 D LIVE 0001792400 Planet Forward Inc. 2443 Fillmore Street #380-16375 San Francisco CA CALIFORNIA 94115 917-202-3425 DELAWARE None None Corporation true 2019 Julia Collins 2443 Fillmore Street #380-16375 San Francisco CA CALIFORNIA 94115 Executive Officer Director Fern Mandelbaum 2443 Fillmore Street #380-16375 San Francisco CA CALIFORNIA 94115 Director Other Decline to Disclose 06b false 2022-05-10 false true false 0 9999983 9961986 37997 false 9 0 0 0 false Planet Forward Inc. c/o Julia Collins Julia Collins Chief Executive Officer 2022-05-24