0001919573-22-000001.txt : 20220329 0001919573-22-000001.hdr.sgml : 20220329 20220329112748 ACCESSION NUMBER: 0001919573-22-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20220329 DATE AS OF CHANGE: 20220329 EFFECTIVENESS DATE: 20220329 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Modern Innovation Lab Inc. CENTRAL INDEX KEY: 0001919573 IRS NUMBER: 850513637 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-439371 FILM NUMBER: 22778772 BUSINESS ADDRESS: STREET 1: 251 LITTLE FALLS DRIVE CITY: WILMINGTON STATE: DE ZIP: 19808 BUSINESS PHONE: 516-865-7150 MAIL ADDRESS: STREET 1: 251 LITTLE FALLS DRIVE CITY: WILMINGTON STATE: DE ZIP: 19808 D 1 primary_doc.xml X0708 D LIVE 0001919573 Modern Innovation Lab Inc. 251 LITTLE FALLS DRIVE WILMINGTON DE DELAWARE 19808 516-865-7150 DELAWARE None None Corporation true 2020 Jerry Staub 251 Little Falls Drive Wilmington DE DELAWARE 19808 Executive Officer Director Alissa Staub 251 Little Falls Drive Wilmington DE DELAWARE 19808 Executive Officer Director Retailing Decline to Disclose 06b false 2022-02-28 false true Simple Agreement for Future Equity (SAFE) false 25000 Indefinite 175000 Indefinite false 2 0 0 0 false Modern Innovation Lab Inc. Jerry Staub Jerry Staub Chief Executive Officer 2022-03-29