0002113027-26-000001.txt : 20260224 0002113027-26-000001.hdr.sgml : 20260224 20260224120101 ACCESSION NUMBER: 0002113027-26-000001 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: 20260224 DATE AS OF CHANGE: 20260224 EFFECTIVENESS DATE: 20260224 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Forms Logic Inc. CENTRAL INDEX KEY: 0002113027 ORGANIZATION NAME: EIN: 862610448 STATE OF INCORPORATION: IL FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-574473 FILM NUMBER: 26669154 BUSINESS ADDRESS: STREET 1: 213 W. WESLEY STREET STREET 2: SUITE 202 CITY: WHEATON STATE: IL ZIP: 60187 BUSINESS PHONE: 630-567-6383 MAIL ADDRESS: STREET 1: 213 W. WESLEY STREET STREET 2: SUITE 202 CITY: WHEATON STATE: IL ZIP: 60187 D 1 primary_doc.xml X0708 D LIVE 0002113027 Forms Logic Inc. 213 W. WESLEY STREET SUITE 202 WHEATON IL ILLINOIS 60187 630-349-2500 ILLINOIS None None Corporation true Richard L Burgess 213 W. Wesley Street 202 Wheaton IL ILLINOIS 60187 Executive Officer Director Promoter Chief Executive Officer, Director on the Board, Founder, Promoter, and Shareholder of <15% of Issuer in Class A Common Stock Frederick A Aalbue 213 W. Wesley Street 202 Wheaton IL ILLINOIS 60187 Director Promoter Chairman of the Board, Director, Founder, Promoter, and Shareholder of <15% of Issuer in Class A Common Stock Matthew D Wernikoff 213 W. Wesley Street 202 Wheaton IL ILLINOIS 60187 Executive Officer Director Corporate Secretary, Director on the Board, and Shareholder of <3% of Issuer in Class A Common Stock Joel N Friedman 213 W. Wesley Street 202 Wheaton IL ILLINOIS 60187 Executive Officer Chief Operating Officer and Shareholder of <11% of the Issuer Comprised of < 4% of Class B Common Stock and <8% of Class C Common Stock Vladyslav Pekker 213 W. Wesley Street 202 Wheaton IL ILLINOIS 60187 Executive Officer Chief Technology Officer, Executive VP, and Shareholder of <11% of the Issuer (via <4% of Class B Common Stock and < 8% of Class C Common Stock Jennifer Nientimp-Sauter 213 W. Wesley Street 202 Wheaton IL ILLINOIS 60187 Executive Officer Executive VP of Sales (not a corporate Officer), and Shareholder of <4% of Issuer in Class B Common Stock James Jefferson Simpson Ausdal Financial Partners, Inc. 5187 Utica Ridge Rd. Davenport IA IOWA 52807 Director Director of Issuer & Indirect Shareholder of .063% of Issuer's Class B Common (via owns 5% of, & is principal of, Ausdal Financial Partners (CRD #7995) the managing BD for Issuer, and Ausdal owns 1.26% of Issuer's Class B Common Stock. Simpson CRD2204191 Other Technology $1,000,001 - $5,000,000 06b false 2025-08-12 false true false 50000 Ausdal Financial Partners, Inc. 7995 None None 5187 Utica Ridge Road Davenport IA IOWA 52807 AL ALABAMA AK ALASKA AZ ARIZONA AR ARKANSAS CA CALIFORNIA CO COLORADO CT CONNECTICUT DE DELAWARE DC DISTRICT OF COLUMBIA FL FLORIDA GA GEORGIA HI HAWAII ID IDAHO IL ILLINOIS IN INDIANA IA IOWA KS KANSAS KY KENTUCKY LA LOUISIANA ME MAINE MD MARYLAND MA MASSACHUSETTS MI MICHIGAN MN MINNESOTA MS MISSISSIPPI MO MISSOURI MT MONTANA NE NEBRASKA NV NEVADA NH NEW HAMPSHIRE NJ NEW JERSEY NM NEW MEXICO NY NEW YORK NC NORTH CAROLINA ND NORTH DAKOTA OH OHIO OK OKLAHOMA OR OREGON PA PENNSYLVANIA PR PUERTO RICO RI RHODE ISLAND SC SOUTH CAROLINA SD SOUTH DAKOTA TN TENNESSEE TX TEXAS UT UTAH VT VERMONT VA VIRGINIA WA WASHINGTON WV WEST VIRGINIA WI WISCONSIN WY WYOMING false 2050000 2050000 0 false 8 307500 true 0 5% placement agent fee in cash + 10% Selling Commission in Stock = 15% x $2,050,000 sold = $307,500 0 true false Forms Logic Inc. Richard L Burgess Richard L Burgess Chief Executive Officer 2026-02-24