0001997203-23-000001.txt : 20231122 0001997203-23-000001.hdr.sgml : 20231122 20231121184150 ACCESSION NUMBER: 0001997203-23-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20231122 DATE AS OF CHANGE: 20231121 EFFECTIVENESS DATE: 20231122 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Pay-i Inc CENTRAL INDEX KEY: 0001997203 IRS NUMBER: 933192347 STATE OF INCORPORATION: DE FISCAL YEAR END: 0630 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-497917 FILM NUMBER: 231429540 BUSINESS ADDRESS: STREET 1: 55512 157TH DRIVE NE CITY: REDMOND STATE: WA ZIP: 98052 BUSINESS PHONE: 425-241-1867 MAIL ADDRESS: STREET 1: 55512 157TH DRIVE NE CITY: REDMOND STATE: WA ZIP: 98052 D 1 primary_doc.xml X0708 D LIVE 0001997203 Pay-i Inc 5512 157TH DRIVE NE REDMOND WA WASHINGTON 98052 425-241-1867 DELAWARE None None Corporation true 2023 David Tepper 5512 157TH DRIVE NE Redmond WA WASHINGTON 98052 Executive Officer Director Erik Winters 5512 157TH DRIVE NE Redmond WA WASHINGTON 98052 Executive Officer Other Technology Decline to Disclose 06b false 2023-11-08 false true true true Simple Agreement for Future Equity (SAFE) false 0 600000 175000 425000 false 3 0 0 0 false Pay-i Inc /s/ David Tepper David Tepper President 2023-11-21