0001939413-22-000001.txt : 20220722 0001939413-22-000001.hdr.sgml : 20220722 20220722145720 ACCESSION NUMBER: 0001939413-22-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20220722 DATE AS OF CHANGE: 20220722 EFFECTIVENESS DATE: 20220722 FILER: COMPANY DATA: COMPANY CONFORMED NAME: CIWRX, Inc. CENTRAL INDEX KEY: 0001939413 IRS NUMBER: 833329871 STATE OF INCORPORATION: NE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-453427 FILM NUMBER: 221099738 BUSINESS ADDRESS: STREET 1: 440 REGENCY PARKWAY DRIVE STREET 2: SUITE 210 CITY: OMAHA STATE: NE ZIP: 68114 BUSINESS PHONE: 402-679-1334 MAIL ADDRESS: STREET 1: 440 REGENCY PARKWAY DRIVE STREET 2: SUITE 210 CITY: OMAHA STATE: NE ZIP: 68114 D 1 primary_doc.xml X0708 D LIVE 0001939413 CIWRX, Inc. 440 REGENCY PARKWAY DRIVE SUITE 210 OMAHA NE NEBRASKA 68114 402-679-1334 NEBRASKA None None Corporation true 2018 Gerald Richard Ladd 12658 Fowler Ave Omaha NE NEBRASKA 68154 Executive Officer Director James Millard Babcock 13252 Emilie Street Omaha NE NEBRASKA 68138 Executive Officer Director Gregory John Duman 17540 Baywood Circle Omaha NE NEBRASKA 68130 Executive Officer Other Technology Decline to Disclose 06b false 2022-07-05 false true true true true Convertible subordinated debentures false 200000 200000 200000 0 false 1 0 0 0 true An indeterminate portion of the proceeds may be used as operating capital, which may fund salaries or payments for reimbursable expenses incurred by officers and directors of the issuer in the ordinary course of business. false CIWRX, Inc. Gerald R. Ladd Gerald R. Ladd President 2022-07-22