0001898645-22-000005.txt : 20221227 0001898645-22-000005.hdr.sgml : 20221227 20221227165046 ACCESSION NUMBER: 0001898645-22-000005 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20221227 DATE AS OF CHANGE: 20221227 EFFECTIVENESS DATE: 20221227 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Forum Mobility, Inc. CENTRAL INDEX KEY: 0001956048 IRS NUMBER: 871035983 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-468837 FILM NUMBER: 221490834 BUSINESS ADDRESS: STREET 1: 700 MILL STREET STREET 2: #6 CITY: HALF MOON BAY STATE: CA ZIP: 94019 BUSINESS PHONE: 650-288-8008 MAIL ADDRESS: STREET 1: 700 MILL STREET STREET 2: #6 CITY: HALF MOON BAY STATE: CA ZIP: 94019 D 1 primary_doc.xml X0708 D LIVE 0001956048 Forum Mobility, Inc. 700 MILL STREET #6 HALF MOON BAY CA CALIFORNIA 94019 650-288-8008 DELAWARE None None Corporation true 2021 Matthew LeDucq c/o Forum Mobility, Inc. 700 Mill St. #6 Half Moon Bay CA CALIFORNIA 94019 Executive Officer Director Christopher Wood c/o Forum Mobility, Inc. 700 Mill St. #6 Half Moon Bay CA CALIFORNIA 94019 Director Thomas Dodson c/o Forum Mobility, Inc. 700 Mill St. #6 Half Moon Bay CA CALIFORNIA 94019 Director Andrew Beebe c/o Forum Mobility, Inc. 700 Mill St. #6 Half Moon Bay CA CALIFORNIA 94019 Director Robert Shaw c/o Forum Mobility, Inc. 700 Mill St. #6 Half Moon Bay CA CALIFORNIA 94019 Director Jacqueline Bruns c/o Forum Mobility, Inc. 700 Mill St. #6 Half Moon Bay CA CALIFORNIA 94019 Executive Officer Adam Browning c/o Forum Mobility, Inc. 700 Mill St. #6 Half Moon Bay CA CALIFORNIA 94019 Director Other Technology Decline to Disclose 06b false 2022-12-19 false true true true false 0 29429993 12679997 16749996 false 4 0 0 0 false Forum Mobility, Inc. Matthew LeDucq Matthew LeDucq Chief Executive Officer 2022-12-27