0001865996-21-000003.txt : 20211222 0001865996-21-000003.hdr.sgml : 20211222 20211222170426 ACCESSION NUMBER: 0001865996-21-000003 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20211222 DATE AS OF CHANGE: 20211222 EFFECTIVENESS DATE: 20211222 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Commons Clinic Inc. CENTRAL INDEX KEY: 0001865996 IRS NUMBER: 863550268 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-426395 FILM NUMBER: 211513960 BUSINESS ADDRESS: STREET 1: 211 WOODWARD STREET STREET 2: #B CITY: AUSTIN STATE: TX ZIP: 78704 BUSINESS PHONE: (860) 462-6671 MAIL ADDRESS: STREET 1: 211 WOODWARD STREET STREET 2: #B CITY: AUSTIN STATE: TX ZIP: 78704 D 1 primary_doc.xml X0708 D LIVE 0001865996 Commons Clinic Inc. 211 Woodward Street #B Austin TX TEXAS 78704 (860) 462-6671 DELAWARE None None Corporation true 2021 Nicholas Scott Aubin 211 Woodward Street #B Austin TX TEXAS 78704 Executive Officer Director Paulo Marques Da Costa 211 Woodward Street #B Austin TX TEXAS 78704 Director Bob Badal 211 Woodward Street #B Austin TX TEXAS 78704 Director Aniq Rahman 211 Woodward Street #B Austin TX TEXAS 78704 Director Other Decline to Disclose 06b false 2021-12-06 false true true Simple Agreement for Future Equity false 0 1000000 90275 909725 false 2 0 0 0 false Commons Clinic Inc. /s/ Nicholas Scott Aubin Nicholas Scott Aubin President and Chief Executive Officer 2021-12-22