0001974757-24-000001.txt : 20241022 0001974757-24-000001.hdr.sgml : 20241022 20241022163546 ACCESSION NUMBER: 0001974757-24-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20241022 DATE AS OF CHANGE: 20241022 EFFECTIVENESS DATE: 20241022 FILER: COMPANY DATA: COMPANY CONFORMED NAME: SELF ID, INC. CENTRAL INDEX KEY: 0001974757 ORGANIZATION NAME: IRS NUMBER: 881405819 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-527540 FILM NUMBER: 241386714 BUSINESS ADDRESS: STREET 1: 300 DELAWARE AVE. SUITE 210 #452 CITY: WILMINGTON STATE: DE ZIP: 19801 BUSINESS PHONE: (302) 396-9041 MAIL ADDRESS: STREET 1: 300 DELAWARE AVE. SUITE 210 #452 CITY: WILMINGTON STATE: DE ZIP: 19801 D 1 primary_doc.xml X0708 D LIVE 0001974757 SELF ID, INC. 300 DELAWARE AVE. SUITE 210 #452 WILMINGTON DE DELAWARE 19801 (302) 396-9041 DELAWARE None None Corporation true 2022 Craig C. Sellars 151 Calle de San Francisco Suite 200 PMB 5071 San Juan PR PUERTO RICO 00901 Executive Officer Director David Roos 300 Delaware Ave. Suite 210 #452 Wilmington DE DELAWARE 19801 Director Omar Divina 300 Delaware Ave. Suite 210 #452 Wilmington DE DELAWARE 19801 Executive Officer Philip Potter 300 Delaware Ave. Suite 210 #452 Wilmington DE DELAWARE 19801 Executive Officer Director Grant Lea 300 Delaware Ave. Suite 210 #452 Wilmington DE DELAWARE 19801 Executive Officer Other Technology Decline to Disclose 06b false 2024-08-08 false true false 0 4000000 4000000 0 false 1 0 0 0 false SELF ID, INC. /s/ Omar Divina Omar Divina Chief Operating Officer 2024-10-22