0001856922-23-000001.txt : 20230329 0001856922-23-000001.hdr.sgml : 20230329 20230328200541 ACCESSION NUMBER: 0001856922-23-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20230329 DATE AS OF CHANGE: 20230328 EFFECTIVENESS DATE: 20230329 FILER: COMPANY DATA: COMPANY CONFORMED NAME: AKILI HOLDINGS, INC. CENTRAL INDEX KEY: 0001856922 IRS NUMBER: 862869954 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-477207 FILM NUMBER: 23771425 BUSINESS ADDRESS: STREET 1: 5019 FAYETTEVILLE MANLIUS ROAD CITY: MANLIUS STATE: NY ZIP: 13104 BUSINESS PHONE: (917) 382-4212 MAIL ADDRESS: STREET 1: 5019 FAYETTEVILLE MANLIUS ROAD CITY: MANLIUS STATE: NY ZIP: 13104 D 1 primary_doc.xml X0708 D LIVE 0001856922 AKILI HOLDINGS, INC. 5019 FAYETTEVILLE MANLIUS ROAD MANLIUS NY NEW YORK 13104 (917) 382-4212 DELAWARE None None Corporation true 2021 Amit Lubling 5019 Fayetteville Manlius Road Manlius NY NEW YORK 13104 Executive Officer Director Other Technology Decline to Disclose 06b false 2022-12-22 false true Simple Agreement for Future Equity ("SAFE") false 25000 5000000 1025000 3975000 false 2 0 0 0 false AKILI HOLDINGS, INC. Amit Lubling Amit Lubling Chief Executive Officer 2023-03-28