0001926620-22-000001.txt : 20220503 0001926620-22-000001.hdr.sgml : 20220503 20220503143604 ACCESSION NUMBER: 0001926620-22-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20220503 DATE AS OF CHANGE: 20220503 EFFECTIVENESS DATE: 20220503 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Adaya AI, Inc. CENTRAL INDEX KEY: 0001926620 IRS NUMBER: 881991879 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-444224 FILM NUMBER: 22886100 BUSINESS ADDRESS: STREET 1: 4160 MARINA STREET CITY: SANTA BARBARA STATE: CA ZIP: 93110 BUSINESS PHONE: (310) 913-5205 MAIL ADDRESS: STREET 1: 4160 MARINA STREET CITY: SANTA BARBARA STATE: CA ZIP: 93110 D 1 primary_doc.xml X0708 D LIVE 0001926620 Adaya AI, Inc. 4160 MARINA DRIVE SANTA BARBARA CA CALIFORNIA 93110 (310) 913-5205 DELAWARE None None Corporation true 2022 Justin Evergreen 4160 Marina Drive Santa Barbara CA CALIFORNIA 93110 Executive Officer Director Alicia Evergreen 4160 Marina Drive Santa Barbara CA CALIFORNIA 93110 Executive Officer Director Other Technology Decline to Disclose 06b false 2022-05-02 false true true true Simple Agreement for Future Equity false 0 1200000 600000 600000 false 1 0 0 0 false Adaya AI, Inc. /s/ Justin Evergreen Justin Evergreen Co-Chief Executive Officer 2022-05-03