0001926620-22-000003.txt : 20221117 0001926620-22-000003.hdr.sgml : 20221117 20221117171736 ACCESSION NUMBER: 0001926620-22-000003 CONFORMED SUBMISSION TYPE: D/A PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20221117 DATE AS OF CHANGE: 20221117 EFFECTIVENESS DATE: 20221117 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/A SEC ACT: 1933 Act SEC FILE NUMBER: 021-444224 FILM NUMBER: 221399505 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/A 1 primary_doc.xml X0708 D/A LIVE 0001926620 Adaya AI, Inc. 4160 MARINA STREET 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 true 0001926620-22-000002 2022-05-02 false true true true Simple Agreement for Future Equity false 0 1750000 1450000 300000 false 1 0 0 0 false Adaya AI, Inc. /s/ Justin Evergreen Justin Evergreen Co-Chief Executive Officer 2022-11-17