0001805448-23-000001.txt : 20230907 0001805448-23-000001.hdr.sgml : 20230907 20230906212951 ACCESSION NUMBER: 0001805448-23-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20230907 DATE AS OF CHANGE: 20230906 EFFECTIVENESS DATE: 20230907 FILER: COMPANY DATA: COMPANY CONFORMED NAME: FOSSA, Inc. CENTRAL INDEX KEY: 0001805448 IRS NUMBER: 472780189 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-491486 FILM NUMBER: 231240831 BUSINESS ADDRESS: STREET 1: 950 HOWARD STREET CITY: SAN FRANCISCO STATE: CA ZIP: 94103 BUSINESS PHONE: 4156559537 MAIL ADDRESS: STREET 1: 950 HOWARD STREET CITY: SAN FRANCISCO STATE: CA ZIP: 94103 D 1 primary_doc.xml X0708 D LIVE 0001805448 FOSSA, Inc. 114 Sansome St, Suite 210 SAN FRANCISCO CA CALIFORNIA 94104 4156559537 DELAWARE None None Corporation true Kevin Wang 114 Sansome St, Suite 210 San Francisco CA CALIFORNIA 94104 Executive Officer Director Andy Chou 114 Sansome St, Suite 210 San Francisco CA CALIFORNIA 94104 Director Gary Little 114 Sansome St, Suite 210 San Francisco CA CALIFORNIA 94104 Director John Cowgill 114 Sansome St, Suite 210 San Francisco CA CALIFORNIA 94104 Director Other Technology Decline to Disclose 06b false 2023-08-25 false true false 0 5000003 4499979 500024 false 9 0 0 0 false FOSSA, Inc. Kevin Wang Kevin Wang Chief Executive Officer 2023-09-06