0001042167-20-000002.txt : 20200123 0001042167-20-000002.hdr.sgml : 20200123 20200123155238 ACCESSION NUMBER: 0001042167-20-000002 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: Rule 504(b)(1)(iii) ITEM INFORMATION: 06b FILED AS OF DATE: 20200123 DATE AS OF CHANGE: 20200123 EFFECTIVENESS DATE: 20200123 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Mobility Transformation, Inc. CENTRAL INDEX KEY: 0001797526 IRS NUMBER: 834291760 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-358806 FILM NUMBER: 20541999 BUSINESS ADDRESS: STREET 1: 821 E WASHINGTON AVE CITY: MADISON STATE: WI ZIP: 53703 BUSINESS PHONE: 608-772-9710 MAIL ADDRESS: STREET 1: 821 E WASHINGTON AVE CITY: MADISON STATE: WI ZIP: 53703 D 1 primary_doc.xml X0708 D LIVE 0001797526 Mobility Transformation, Inc. 821 E WASHINGTON AVE MADISON WI WISCONSIN 53703 608-772-9710 DELAWARE None None Corporation true 2019 Shree Kalluri 1705 Hidden Hill Dr. Verona WI WISCONSIN 53593 Executive Officer Director Ram Venkatesh 9710 Trappers Trail Middleton WI WISCONSIN 53562 Director Anthony O'Hare 5610 Mendota Drive Middleton WI WISCONSIN 53562 Director Other Technology Decline to Disclose 06b 04.3 false 2019-09-20 false true false 25000 1590000 1590000 0 false 13 0 0 0 false Mobility Transformation, Inc. /s/ Shree Kalluri Shree Kalluri Chief Executive Officer 2020-01-21