0001887423-21-000001.txt : 20211013 0001887423-21-000001.hdr.sgml : 20211013 20211013132407 ACCESSION NUMBER: 0001887423-21-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20211013 DATE AS OF CHANGE: 20211013 EFFECTIVENESS DATE: 20211013 FILER: COMPANY DATA: COMPANY CONFORMED NAME: QUALITI, INC. CENTRAL INDEX KEY: 0001887423 IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-416714 FILM NUMBER: 211320810 BUSINESS ADDRESS: STREET 1: 4 WINDSONG CITY: SANDY STATE: UT ZIP: 84092 BUSINESS PHONE: 801-946-2680 MAIL ADDRESS: STREET 1: 4 WINDSONG CITY: SANDY STATE: UT ZIP: 84092 D 1 primary_doc.xml X0708 D LIVE 0001887423 QUALITI, INC. 4 WINDSONG SANDY UT UTAH 84092 801-946-2680 DELAWARE None None Corporation true 2021 Peter West 4 Windsong Sandy UT UTAH 84092 Executive Officer Director Other Technology Decline to Disclose 06b false 2021-10-01 false true false 0 5030887 5030887 0 false 3 0 0 0 false QUALITI, INC. /s/ Peter West Peter West Chief Executive Officer 2021-10-13