0001931839-22-000001.txt : 20220912 0001931839-22-000001.hdr.sgml : 20220912 20220912113237 ACCESSION NUMBER: 0001931839-22-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20220912 DATE AS OF CHANGE: 20220912 EFFECTIVENESS DATE: 20220912 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Fieldproxy, Inc. CENTRAL INDEX KEY: 0001931839 IRS NUMBER: 874020829 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-458536 FILM NUMBER: 221237996 BUSINESS ADDRESS: STREET 1: 355 BRYANT STREET STREET 2: SUITE 403 CITY: SAN FRANCISCO STATE: CA ZIP: 94107 BUSINESS PHONE: 918454856481 MAIL ADDRESS: STREET 1: 355 BRYANT STREET STREET 2: SUITE 403 CITY: SAN FRANCISCO STATE: CA ZIP: 94107 D 1 primary_doc.xml X0708 D LIVE 0001931839 Fieldproxy, Inc. 355 BRYANT STREET SUITE 403 SAN FRANCISCO CA CALIFORNIA 94107 918454856481 DELAWARE None None Corporation true 2021 Swaroop Vijayakumar c/o 355 Bryant Street Suite # 403 San Francisco CA CALIFORNIA 94107 Executive Officer Director Balakrishna Balasubramanian c/o 355 Bryant Street Suite # 403 San Francisco CA CALIFORNIA 94107 Director Other Technology Decline to Disclose 06b false 2022-08-26 false true false 0 3596 1453 2143 false 9 0 0 0 true false Fieldproxy, Inc. /s/Swaroop Vijayakumar Swaroop Vijayakumar Chief Executive Officer 2022-09-12