0001866853-21-000001.txt : 20210614 0001866853-21-000001.hdr.sgml : 20210614 20210614124430 ACCESSION NUMBER: 0001866853-21-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20210614 DATE AS OF CHANGE: 20210614 EFFECTIVENESS DATE: 20210614 FILER: COMPANY DATA: COMPANY CONFORMED NAME: FORTEM INVENIO, INC. CENTRAL INDEX KEY: 0001866853 IRS NUMBER: 844329085 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-402756 FILM NUMBER: 211013973 BUSINESS ADDRESS: STREET 1: 1025 LOMBARDI AVENUE CITY: GREEN BAY STATE: WI ZIP: 54304 BUSINESS PHONE: (310) 928-1129 MAIL ADDRESS: STREET 1: 1025 LOMBARDI AVENUE CITY: GREEN BAY STATE: WI ZIP: 54304 D 1 primary_doc.xml X0708 D LIVE 0001866853 FORTEM INVENIO, INC. 1025 LOMBARDI AVENUE GREEN BAY WI WISCONSIN 54304 (310) 928-1129 DELAWARE None None Corporation true 2020 TYLER ELLISON 8213 WHITE CLIFF ROAD EGG HARBOR WI WISCONSIN 54209 Executive Officer Director BOB VRUGGINK 2324 GLACIER RIDGE STEAMBOAT SPRINGS CO COLORADO 80487 Director BILL BUTLER 437 N BONHILL ROAD LOS ANGELES CA CALIFORNIA 90049 Director CRAIG DICKMAN 2914 WESTLINE ROAD GREEN BAY WI WISCONSIN 54313 Director Other Decline to Disclose 06b false 2021-06-01 false true true true false 100000 1500000 750000 750000 false 1 0 0 0 false FORTEM INVENIO, INC. SARAH F. WILLIAMS SARAH F. WILLIAMS AS ATTORNEY-IN-FACT FOR TYLER ELLISON, CEO 2021-06-14