0001803263-22-000001.txt : 20220606 0001803263-22-000001.hdr.sgml : 20220606 20220606110150 ACCESSION NUMBER: 0001803263-22-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20220606 DATE AS OF CHANGE: 20220606 EFFECTIVENESS DATE: 20220606 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Reinform, Inc. CENTRAL INDEX KEY: 0001803263 IRS NUMBER: 474798423 STATE OF INCORPORATION: DE FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-448167 FILM NUMBER: 22997106 BUSINESS ADDRESS: STREET 1: 2712 STANGE ROAD CITY: AMES STATE: IA ZIP: 50010 BUSINESS PHONE: 515-822-4291 MAIL ADDRESS: STREET 1: 2712 STANGE ROAD CITY: AMES STATE: IA ZIP: 50010 D 1 primary_doc.xml X0708 D LIVE 0001803263 Reinform, Inc. 525 Kellogg Avenue Unit 408 AMES IA IOWA 50010 515-822-4291 DELAWARE None None Corporation true Clifford Smith 525 Kellogg Avenue Unit 408 Ames IA IOWA 50010 Executive Officer Director Andrew Dickelman 525 Kellogg Avenue Unit 408 Ames IA IOWA 50010 Director Daniel Murray 525 Kellogg Avenue Unit 408 Ames IA IOWA 50010 Director Bradley Williams 525 Kellogg Avenue Unit 408 Ames IA IOWA 50010 Director Dean Hunziker 525 Kellogg Avenue Unit 408 Ames IA IOWA 50010 Director Other Technology Decline to Disclose 06b false 2022-05-25 false true true false 0 10272257 3742230 6530027 false 27 0 0 50000 true Some proceeds of the offering will be used for repayment of a loan in the approximate amount set forth above. Certain other proceeds will be used for salaries/compensation for individuals listed in Item 3 in their capacity as employees. false Reinform, Inc. /s/ Clifford E. Smith Clifford E. Smith Chief Executive Officer 2022-06-06