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
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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
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5% placement agent fee in cash + 10% Selling Commission in Stock = 15% x $2,050,000 sold = $307,500
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Forms Logic Inc.
Richard L Burgess
Richard L Burgess
Chief Executive Officer
2026-02-24