0001896649-21-000002.txt : 20211208 0001896649-21-000002.hdr.sgml : 20211208 20211208145154 ACCESSION NUMBER: 0001896649-21-000002 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20211208 DATE AS OF CHANGE: 20211208 EFFECTIVENESS DATE: 20211208 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Blue Lava, Inc. CENTRAL INDEX KEY: 0001896649 IRS NUMBER: 743221462 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-424163 FILM NUMBER: 211478481 BUSINESS ADDRESS: STREET 1: 1259 EL CAMINO REAL STREET 2: #409 CITY: MENLO PARK STATE: CA ZIP: 94025 BUSINESS PHONE: 510-928-4167 MAIL ADDRESS: STREET 1: 1259 EL CAMINO REAL STREET 2: #409 CITY: MENLO PARK STATE: CA ZIP: 94025 D 1 primary_doc.xml X0708 D LIVE 0001896649 Blue Lava, Inc. 1259 EL CAMINO REAL #409 MENLO PARK CA CALIFORNIA 94025 510-928-4167 DELAWARE Blue Lava Consulting, LLC None Corporation true David Walter c/o Blue Lava, Inc. 1259 El Camino Real, #409 Menlo Park CA CALIFORNIA 94025 Executive Officer Director Demetrios Lazarikos c/o Blue Lava, Inc. 1259 El Camino Real, #409 Menlo Park CA CALIFORNIA 94025 Executive Officer Director Charles Beeler c/o Blue Lava, Inc. 1259 El Camino Real, #409 Menlo Park CA CALIFORNIA 94025 Director Jay Leek c/o Blue Lava, Inc. 1259 El Camino Real, #409 Menlo Park CA CALIFORNIA 94025 Director Other Technology Decline to Disclose 06b false 2019-06-03 false true true Converted Promissory Notes into Series A-2 Preferred Shares false 0 15499999 15030932 469067 Series A-1 Preferred Shares; Common Stock issuable upon conversion of Series A-1 Preferred Shares. Total Offering Amount does not include $2,550,597.81 of Convertible Promissory Notes converted into shares of Series A-2 Preferred Stock in the financing. false 21 0 0 0 false Blue Lava, Inc. /s/ David Walter David Walter Chief Executive Officer 2021-12-08