0001567619-23-007401.txt : 20231006 0001567619-23-007401.hdr.sgml : 20231006 20231006165553 ACCESSION NUMBER: 0001567619-23-007401 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20231006 DATE AS OF CHANGE: 20231006 EFFECTIVENESS DATE: 20231006 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Persefoni AI Inc. CENTRAL INDEX KEY: 0001858523 IRS NUMBER: 844382783 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-494086 FILM NUMBER: 231314773 BUSINESS ADDRESS: STREET 1: 2415 W. BROADWAY ROAD #41022 CITY: MESA STATE: AZ ZIP: 85274 BUSINESS PHONE: 480-780-9034 MAIL ADDRESS: STREET 1: 2415 W. BROADWAY ROAD #41022 CITY: MESA STATE: AZ ZIP: 85274 D 1 primary_doc.xml X0708 D LIVE 0001858523 Persefoni AI Inc. 2415 W. BROADWAY ROAD #41022 MESA AZ ARIZONA 85274 480-780-9034 DELAWARE None None Corporation true 2020 Kentaro Kawamori 2415 W. Broadway Road #41022 Mesa AZ ARIZONA 85274 Director Executive Officer Jason Offerman 2415 W. Broadway Road #41022 Mesa AZ ARIZONA 85274 Director Executive Officer Marc Zenner 2415 W. Broadway Road #41022 Mesa AZ ARIZONA 85274 Executive Officer Peter Bartolino 2415 W. Broadway Road #41022 Mesa AZ ARIZONA 85274 Executive Officer Daniel Ahn 2415 W. Broadway Road #41022 Mesa AZ ARIZONA 85274 Director Daniel Rice IV 2415 W. Broadway Road #41022 Mesa AZ ARIZONA 85274 Director Kyle Derham 2415 W. Broadway Road #41022 Mesa AZ ARIZONA 85274 Director Greg Lyons 2415 W. Broadway Road #41022 Mesa AZ ARIZONA 85274 Director Steve Ellis 2415 W. Broadway Road #41022 Mesa AZ ARIZONA 85274 Director Aaron Liu 2415 W. Broadway Road #41022 Mesa AZ ARIZONA 85274 Director Allison Herren Lee 2415 W. Broadway Road #41022 Mesa AZ ARIZONA 85274 Director Other Technology Decline to Disclose 06b false 2023-08-18 false true false 0 82714648 52714648 30000000 Cash Investment amount is $40,000,000. Note Conversion amounts are $40,504,863 and Share Exchange is $2,209,789. false 16 0 0 0 false Persefoni AI Inc. /s/ Peter Bartolino Peter Bartolino Exec. Vice President, General Counsel & Corporate Secretary 2023-10-06