0001959093-22-000001.txt : 20221221 0001959093-22-000001.hdr.sgml : 20221221 20221221095045 ACCESSION NUMBER: 0001959093-22-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20221221 DATE AS OF CHANGE: 20221221 EFFECTIVENESS DATE: 20221221 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Civin, Inc. CENTRAL INDEX KEY: 0001959093 IRS NUMBER: 853164357 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-468189 FILM NUMBER: 221476724 BUSINESS ADDRESS: STREET 1: 50 LEWIS STREET STREET 2: 441 CITY: EAST BOSTON STATE: MA ZIP: 02128 BUSINESS PHONE: 978-994-3041 MAIL ADDRESS: STREET 1: 50 LEWIS STREET STREET 2: 441 CITY: EAST BOSTON STATE: MA ZIP: 02128 D 1 primary_doc.xml X0708 D LIVE 0001959093 Civin, Inc. 50 LEWIS STREET 441 EAST BOSTON MA MASSACHUSETTS 02128 978-994-3041 DELAWARE None None Corporation true 2020 Andrew Therriault c/o Civin, Inc. 50 LEWIS STREET, 441 East Boston MA MASSACHUSETTS 02128 Executive Officer Director Pecherskiy Maksim c/o Civin, Inc. 50 LEWIS STREET, 441 East Boston MA MASSACHUSETTS 02128 Executive Officer Director Other Technology Decline to Disclose 06b false 2022-12-09 false true true true true true Simple Agreement for Future Equity (SAFE) false 0 200000 75000 125000 false 2 0 0 0 false Civin, Inc. /s/ Andrew Therriault Andrew Therriault President 2022-12-21