0001881508-21-000001.txt : 20210914 0001881508-21-000001.hdr.sgml : 20210914 20210914161311 ACCESSION NUMBER: 0001881508-21-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20210914 DATE AS OF CHANGE: 20210914 EFFECTIVENESS DATE: 20210914 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Spice AI, Inc. CENTRAL INDEX KEY: 0001881508 IRS NUMBER: 861370145 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-413311 FILM NUMBER: 211252535 BUSINESS ADDRESS: STREET 1: 113 CHERRY ST., PMB 26297 CITY: SEATTLE STATE: WA ZIP: 98104-2205 BUSINESS PHONE: 425-520-3456 MAIL ADDRESS: STREET 1: 113 CHERRY ST., PMB 26297 CITY: SEATTLE STATE: WA ZIP: 98104-2205 D 1 primary_doc.xml X0708 D LIVE 0001881508 Spice AI, Inc. 113 CHERRY ST., PMB 26297 SEATTLE WA WASHINGTON 98104-2205 425-520-3456 DELAWARE None None Corporation true 2021 Tae Hyung Kim 113 Cherry St., PMB 26297 Seattle WA WASHINGTON 98104 Executive Officer Director Phillip Michael LeBlanc 113 Cherry St., PMB 26297 Seattle WA WASHINGTON 98104 Executive Officer Director Lane Stroud Harris 113 Cherry St., PMB 26297 Seattle WA WASHINGTON 98104 Executive Officer Director Other Technology Decline to Disclose 06b false 2021-08-13 false true SAFE (Simple Agreement for Future Equity) false 0 1000000 617500 382500 false 20 0 0 0 false Spice AI, Inc. /s/ Peter D. Singh Jr. Peter D Singh Jr. Attorney-in-fact 2021-09-14