0001880550-21-000001.txt : 20210903 0001880550-21-000001.hdr.sgml : 20210903 20210903141016 ACCESSION NUMBER: 0001880550-21-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20210903 DATE AS OF CHANGE: 20210903 EFFECTIVENESS DATE: 20210903 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Polimorphic, Inc. CENTRAL INDEX KEY: 0001880550 IRS NUMBER: 841815036 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-412351 FILM NUMBER: 211236062 BUSINESS ADDRESS: STREET 1: 31961 CAMINO DEL CIELO CITY: TRABUCO CANYON STATE: CA ZIP: 92679 BUSINESS PHONE: 949-375-2015 MAIL ADDRESS: STREET 1: 31961 CAMINO DEL CIELO CITY: TRABUCO CANYON STATE: CA ZIP: 92679 D 1 primary_doc.xml X0708 D LIVE 0001880550 Polimorphic, Inc. 31961 CAMINO DEL CIELO TRABUCO CANYON CA CALIFORNIA 92679 949-375-2015 DELAWARE None None Corporation true 2019 Parth Shah 31961 CAMINO DEL CIELO TRABUCO CANYON CA CALIFORNIA 92679 Executive Officer Director Daniel Smith 31961 CAMINO DEL CIELO TRABUCO CANYON CA CALIFORNIA 92679 Executive Officer Director Mo Koyfman 31961 CAMINO DEL CIELO TRABUCO CANYON CA CALIFORNIA 92679 Director Other Technology Decline to Disclose 06b false 2021-08-19 false true false 0 4134705 3790977 343728 Total Amount Sold includes the conversion of SAFEs (Simple Agreement for Future Equity) and Convertible Promissory Note. false 40 0 0 0 true false Polimorphic, Inc. /s/ Parth Shah Parth Shah Chief Executive Officer 2021-09-03