0001896649-21-000003.txt : 20211208 0001896649-21-000003.hdr.sgml : 20211208 20211208145309 ACCESSION NUMBER: 0001896649-21-000003 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: 021-424164 FILM NUMBER: 211478486 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 2021-10-19 false true false 0 7499997 7499997 0 Series A-3 Preferred Stock; Common Stock issuable upon conversion of Series A-3 Preferred Stock. false 6 0 0 0 false Blue Lava, Inc. /s/ David Walter David Walter Chief Executive Officer 2021-12-08