0001953558-23-000002.txt : 20230620 0001953558-23-000002.hdr.sgml : 20230620 20230620134952 ACCESSION NUMBER: 0001953558-23-000002 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20230620 DATE AS OF CHANGE: 20230620 EFFECTIVENESS DATE: 20230620 FILER: COMPANY DATA: COMPANY CONFORMED NAME: AMBOSS TECHNOLOGIES, INC. CENTRAL INDEX KEY: 0001953558 IRS NUMBER: 863453551 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-484614 FILM NUMBER: 231024420 BUSINESS ADDRESS: STREET 1: 4110 SE HAWTHORNE BLVD STREET 2: NUM 1044 CITY: PORTLAND STATE: OR ZIP: 97214 BUSINESS PHONE: 503-583-4181 MAIL ADDRESS: STREET 1: 4110 SE HAWTHORNE BLVD STREET 2: NUM 1044 CITY: PORTLAND STATE: OR ZIP: 97214 D 1 primary_doc.xml X0708 D LIVE 0001953558 AMBOSS TECHNOLOGIES, INC. 4110 SE HAWTHORNE BLVD NUM 1044 PORTLAND OR OREGON 97214 503-583-4181 DELAWARE None None Corporation true 2021 Jesse Shrader 4110 SE HAWTHORNE BLVD NUM 1044 PORTLAND OR OREGON 97214 Executive Officer Director Anthony Potdevin 4110 SE HAWTHORNE BLVD NUM 1044 PORTLAND OR OREGON 97214 Executive Officer Director Other Technology Decline to Disclose 06b false 2022-01-04 false true true true false 0 800000 800000 0 false 6 0 0 0 false AMBOSS TECHNOLOGIES, INC. Jesse Shrader Jesse Shrader Vice President 2023-06-20