0001376474-24-000644.txt : 20241105 0001376474-24-000644.hdr.sgml : 20241105 20241105134503 ACCESSION NUMBER: 0001376474-24-000644 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20241105 DATE AS OF CHANGE: 20241105 EFFECTIVENESS DATE: 20241105 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Payman AI, Inc. CENTRAL INDEX KEY: 0002025647 ORGANIZATION NAME: IRS NUMBER: 992747507 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-528678 FILM NUMBER: 241426811 BUSINESS ADDRESS: STREET 1: 140 HAY BARN ROAD CITY: DURANGO STATE: CO ZIP: 81301 BUSINESS PHONE: 832-683-1029 MAIL ADDRESS: STREET 1: 140 HAY BARN ROAD CITY: DURANGO STATE: CO ZIP: 81301 D 1 primary_doc.xml X0708 D LIVE 0002025647 Payman AI, Inc. 140 HAY BARN ROAD DURANGO CO COLORADO 81301 832-683-1029 DELAWARE None None Corporation true 2024 Tyllen Bicakcic 140 Hay Barn Road Durango CO COLORADO 81301 Executive Officer CEO Prashanth Pillareddy 140 Hay Barn Road Durango CO COLORADO 81301 Director Other Technology Decline to Disclose 06b false 2024-10-25 false true true SAFE (Simple Agreement for Future Equity) false 10000 10000000 9574500 425500 false 8 0 0 240000 Salaries for CEO Tyllen Bicakcic and Director Prashanth Pillareddy false Payman AI, Inc. /s/ Tyllen Bicakcic Tyllen Bicakcic CEO 2024-11-02