0002031210-24-000002.txt : 20240722 0002031210-24-000002.hdr.sgml : 20240722 20240722163832 ACCESSION NUMBER: 0002031210-24-000002 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20240722 DATE AS OF CHANGE: 20240722 EFFECTIVENESS DATE: 20240722 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Examen, Inc. /DE CENTRAL INDEX KEY: 0002031210 ORGANIZATION NAME: IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-519442 FILM NUMBER: 241131958 BUSINESS ADDRESS: STREET 1: 299 FREMONT AVENUE CITY: SAN FRANCISCO STATE: CA ZIP: 94105 BUSINESS PHONE: 3129786861 MAIL ADDRESS: STREET 1: 299 FREMONT AVENUE CITY: SAN FRANCISCO STATE: CA ZIP: 94105 D 1 primary_doc.xml X0708 D LIVE 0002031210 Examen, Inc. /DE 299 FREMONT AVENUE SAN FRANCISCO CA CALIFORNIA 94105 3129786861 DELAWARE None None Corporation true 2024 Ricardo Chamorro 299 Fremont Avenue San Francisco CA CALIFORNIA 94105 Executive Officer Director Diego Chamorro 299 Fremont Avenue San Francisco CA CALIFORNIA 94105 Executive Officer Director Other Decline to Disclose 06b false 2024-07-09 false true true Simple Agreement for Future Equity (SAFE), the shares of Issuer capital stock into which the SAFE may convert (SAFE Shares) and the shares of Issuer capital stock into which SAFE Shares may convert. false 1000 750000 336450 413550 false 5 0 0 0 Proceeds will be used for working capital which may include compensation to executive officers and directors. false Examen, Inc. /DE Ricardo Chamorro /s/ Ricardo Chamorro President and CEO 2024-07-22