0001231919-25-000102.txt : 20250709 0001231919-25-000102.hdr.sgml : 20250709 20250709105241 ACCESSION NUMBER: 0001231919-25-000102 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: Rule 506(b) provides a "safer harbor" for a private offering FILED AS OF DATE: 20250709 DATE AS OF CHANGE: 20250709 EFFECTIVENESS DATE: 20250709 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Fiveonefour Labs Inc. CENTRAL INDEX KEY: 0002074837 ORGANIZATION NAME: EIN: 933391175 STATE OF INCORPORATION: DE FISCAL YEAR END: 0131 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-551089 FILM NUMBER: 251112585 BUSINESS ADDRESS: STREET 1: 205 SE SPOKANE STREET STREET 2: SUITE 300 CITY: PORTLAND STATE: OR ZIP: 97202 BUSINESS PHONE: 503 388 5333 MAIL ADDRESS: STREET 1: 205 SE SPOKANE STREET STREET 2: SUITE 300 CITY: PORTLAND STATE: OR ZIP: 97202 D 1 primary_doc.xml X0708 D LIVE 0002074837 Fiveonefour Labs Inc. 205 SE SPOKANE STREET SUITE 300 PORTLAND OR OREGON 97202 503 388 5333 DELAWARE None None Corporation true 2023 Timote Gelinas Delisle 205 SE SPOKANE STREET SUITE 300 PORTLAND OR OREGON 97202 Executive Officer Director Promoter Nan Li 205 SE SPOKANE STREET SUITE 300 PORTLAND OR OREGON 97202 Director Christopher M Crane 205 SE SPOKANE STREET SUITE 300 PORTLAND OR OREGON 97202 Director Other Decline to Disclose 06b false 2025-05-30 false true false 0 10844975 10844975 0 false 16 0 0 0 false Fiveonefour Labs Inc. /s/ Timote Gelinas Delisle Timote Gelinas Delisle Chief Executive Officer 2025-07-09