0001866853-23-000001.txt : 20230223 0001866853-23-000001.hdr.sgml : 20230223 20230223114946 ACCESSION NUMBER: 0001866853-23-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: Rule 504(b)(1) (not (i), (ii) or (iii)) ITEM INFORMATION: 06b FILED AS OF DATE: 20230223 DATE AS OF CHANGE: 20230223 EFFECTIVENESS DATE: 20230223 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: 021-474093 FILM NUMBER: 23657830 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 1025 LOMBARDI AVENUE GREEN BAY WI WISCONSIN 54304 Executive Officer Director BILL BUTLER 437 N BONHILL ROAD LOS ANGELES CA CALIFORNIA 90049 Director CRAIG DICKMAN 2914 WESTLINE ROAD GREEN BAY WI WISCONSIN 54313 Director SHALEEN DEVGUN 1025 LOMBARDI AVENUE GREEN BAY WI WISCONSIN 54304 Director CHRIS ADAMS 1025 LOMBARDI AVENUE GREEN BAY WI WISCONSIN 54304 Director Other Decline to Disclose 04 06b false 2023-02-16 false true false 0 31582 31582 0 AMOUNT ROUNDED DOWN--ACTUAL AMOUNT IS 31,582.01 true 5 6 0 0 0 false FORTEM INVENIO, INC. SARAH F. ALDERIN SARAH F. ALDERIN AS ATTORNEY-IN-FACT FOR TYLER ELLISON, CEO 2023-02-23