0001823681-21-000001.txt : 20210708 0001823681-21-000001.hdr.sgml : 20210708 20210708150310 ACCESSION NUMBER: 0001823681-21-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06c FILED AS OF DATE: 20210708 DATE AS OF CHANGE: 20210708 EFFECTIVENESS DATE: 20210708 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Azzly, Inc. CENTRAL INDEX KEY: 0001823681 IRS NUMBER: 264735774 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-405605 FILM NUMBER: 211080039 BUSINESS ADDRESS: STREET 1: 6555 SANGER ROAD CITY: ORLANDO STATE: FL ZIP: 32827 BUSINESS PHONE: 772-567-0206 MAIL ADDRESS: STREET 1: 6555 SANGER ROAD CITY: ORLANDO STATE: FL ZIP: 32827 D 1 primary_doc.xml X0708 D LIVE 0001823681 Azzly, Inc. 6555 SANGER ROAD ORLANDO FL FLORIDA 32827 772-567-0206 DELAWARE None None Corporation true Coletta Dorado 6555 Sanger Road Orlando FL FLORIDA 32827 Executive Officer Other Health Care Decline to Disclose 06c false 2021-05-24 false true false 100000 Bruce V Roberts 1489110 Carolina Financial Securities, LLC 41970 100 Elks Club Road Brevard NC NORTH CAROLINA 28712 NC NORTH CAROLINA false Garrick G Ruiz 5584980 Carofin, LLC 298717 6 Stonewall Bend San Antonio TX TEXAS 78256 GA GEORGIA false 2300000 260000 2040000 false 5 138000 true 0 Placement agent will receive a cash fee equal to 6% of new equity purchased and 3% for current shareholders in the company. 0 false Azzly, Inc. Coletta Dorado Coletta Dorado CEO 2021-07-08