0001553997-24-000025.txt : 20241204
0001553997-24-000025.hdr.sgml : 20241204
20241204124459
ACCESSION NUMBER: 0001553997-24-000025
CONFORMED SUBMISSION TYPE: D
PUBLIC DOCUMENT COUNT: 1
ITEM INFORMATION: 06b
ITEM INFORMATION: 4a5
FILED AS OF DATE: 20241204
DATE AS OF CHANGE: 20241204
EFFECTIVENESS DATE: 20241204
FILER:
COMPANY DATA:
COMPANY CONFORMED NAME: FOXO TECHNOLOGIES INC.
CENTRAL INDEX KEY: 0001812360
STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-COMMERCIAL PHYSICAL & BIOLOGICAL RESEARCH [8731]
ORGANIZATION NAME: 08 Industrial Applications and Services
IRS NUMBER: 851050265
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: D
SEC ACT: 1933 Act
SEC FILE NUMBER: 021-531060
FILM NUMBER: 241525500
BUSINESS ADDRESS:
STREET 1: 729 WASHINGTON AVE. N
STREET 2: SUITE 600
CITY: MINNEAPOLIS
STATE: MN
ZIP: 55401
BUSINESS PHONE: (612) 562-9447
MAIL ADDRESS:
STREET 1: 729 WASHINGTON AVE. N
STREET 2: SUITE 600
CITY: MINNEAPOLIS
STATE: MN
ZIP: 55401
FORMER COMPANY:
FORMER CONFORMED NAME: Delwinds Insurance Acquisition Corp.
DATE OF NAME CHANGE: 20200518
D
1
primary_doc.xml
X0708
D
LIVE
0001812360
FOXO TECHNOLOGIES INC.
729 WASHINGTON AVE. N
SUITE 600
MINNEAPOLIS
MN
MINNESOTA
55401
(612) 800-0059
DELAWARE
Delwinds Insurance Acquisition Corp.
Corporation
true
2020
Mark
White
729 N. Washington Ave
Suite 600
Minneapolis
MN
MINNESOTA
55401
Executive Officer
Director
Interim Chief Executive Officer
Martin
Ward
729 N. Washington Ave
Suite 600
Minneapolis
MN
MINNESOTA
55401
Executive Officer
Interim Chief Financial Officer
Bret
Barnes
729 N. Washington Ave
Suite 600
Minneapolis
MN
MINNESOTA
55401
Director
Francis
Colt
deWolf III
729 N. Washington Ave
Suite 600
Minneapolis
MN
MINNESOTA
55401
Director
Seamus
Lagan
729 N. Washington Ave
Suite 600
Minneapolis
MN
MINNESOTA
55401
Director
Trevor
Langley
729 N. Washington Ave
Suite 600
Minneapolis
MN
MINNESOTA
55401
Director
Other
Decline to Disclose
- 06b
- 4a5
false
2024-11-18
false
true
true
false
220000
J.H Darbie & Co., Inc.
43520
J.H Darbie & Co., Inc.
43520
40 WALL ST., 30TH FL.
NEW YORK CITY
NY
NEW YORK
10005
WY
WYOMING
false
220000
220000
0
$220,000 convertible promissory note, 125,000 shares of Class A Common
Stock as inducement shares, and 19,719 shares as finder's fee shares.
false
2
0
30800
0
false
FOXO TECHNOLOGIES INC.
/s/ Mark White
Mark White
Interim CEO
2024-12-04