0001792754-21-000003.txt : 20210430 0001792754-21-000003.hdr.sgml : 20210430 20210430145049 ACCESSION NUMBER: 0001792754-21-000003 CONFORMED SUBMISSION TYPE: D/A PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20210430 DATE AS OF CHANGE: 20210430 EFFECTIVENESS DATE: 20210430 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Illusio, Inc. CENTRAL INDEX KEY: 0001792754 IRS NUMBER: 473181620 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D/A SEC ACT: 1933 Act SEC FILE NUMBER: 021-353150 FILM NUMBER: 21876826 BUSINESS ADDRESS: STREET 1: 222 VIA MALAGA CITY: SAN CLEMENTE STATE: CA ZIP: 92673 BUSINESS PHONE: 844-445-5874 MAIL ADDRESS: STREET 1: 222 VIA MALAGA CITY: SAN CLEMENTE STATE: CA ZIP: 92673 D/A 1 primary_doc.xml X0708 D/A LIVE 0001792754 Illusio, Inc. 1211 Puerta del Sol Suite 220 SAN CLEMENTE CA CALIFORNIA 92673 844-445-5874 DELAWARE None None Corporation true Ethan Winner 1211 Puerta del Sol Suite 220 San Clemente CA CALIFORNIA 92673 Executive Officer Director Jeffrey Stone c/o Illusio, Inc. 1211 Puerta del Sol, Suite 220 San Clemente CA CALIFORNIA 92673 Director Kyle Song c/o Illusio, Inc. 1211 Puerta del Sol, Suite 220 San Clemente CA CALIFORNIA 92673 Director Other Technology Decline to Disclose 06b true 0001792754-19-000002 2019-11-03 false true Simple Agreement for Future Equity (SAFE) false 0 1500000 305000 1195000 false 9 0 0 0 false Illusio, Inc. /s/ Ethan Winner Ethan Winner Chief Executive Officer 2021-04-30