0001899721-21-000001.txt : 20211220 0001899721-21-000001.hdr.sgml : 20211220 20211217183410 ACCESSION NUMBER: 0001899721-21-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20211220 DATE AS OF CHANGE: 20211217 EFFECTIVENESS DATE: 20211220 FILER: COMPANY DATA: COMPANY CONFORMED NAME: WaitRoom Inc. CENTRAL INDEX KEY: 0001899721 IRS NUMBER: 853035800 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-425764 FILM NUMBER: 211503090 BUSINESS ADDRESS: STREET 1: 1140 WALL STREET #3332 CITY: LA JOLLA STATE: CA ZIP: 92037 BUSINESS PHONE: (650) 898-3952 MAIL ADDRESS: STREET 1: 1140 WALL STREET #3332 CITY: LA JOLLA STATE: CA ZIP: 92037 D 1 primary_doc.xml X0708 D LIVE 0001899721 WaitRoom Inc. 1140 WALL STREET #3332 LA JOLLA CA CALIFORNIA 92037 (650) 898-3952 DELAWARE None None Corporation true 2020 Vinodam Lingham 1140 Wall Street #3332 La Jolla CA CALIFORNIA 92037 Executive Officer Director Other Technology Decline to Disclose 06b false 2021-11-30 false true false 0 3199916 3199916 0 *Includes shares issued pursuant to the cancellation of SAFE indebtedness in the amount of $1,199,920.00. false 26 0 0 0 false WaitRoom Inc. /s/Vinodan Lingham Vinodan Lingham Chief Executive Officer 2021-12-17