0001765349-22-000002.txt : 20220803 0001765349-22-000002.hdr.sgml : 20220803 20220803163315 ACCESSION NUMBER: 0001765349-22-000002 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20220803 DATE AS OF CHANGE: 20220803 EFFECTIVENESS DATE: 20220803 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Vita Inclinata Technologies, Inc. CENTRAL INDEX KEY: 0001765349 IRS NUMBER: 833188536 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-454739 FILM NUMBER: 221133163 BUSINESS ADDRESS: STREET 1: 295 INTERLOCKEN BLVD. STREET 2: SUITE #100 CITY: BROOMFIELD STATE: CO ZIP: 80021 BUSINESS PHONE: 5034223922 MAIL ADDRESS: STREET 1: 295 INTERLOCKEN BLVD. STREET 2: SUITE #100 CITY: BROOMFIELD STATE: CO ZIP: 80021 D 1 primary_doc.xml X0708 D LIVE 0001765349 Vita Inclinata Technologies, Inc. 295 Interlocken Blvd. Suite 100 Broomfield CO COLORADO 80021 8336008482 DELAWARE None None Corporation true 2019 Derek Martin 295 Interlocken Blvd Suite 100 Broomfield CO COLORADO 80021 Executive Officer Caleb Carr 295 Interlocken Blvd. Suite 100 Broomfield CO COLORADO 80021 Executive Officer Director Derek Sikora 295 Interlocken Blvd. Suite 100 Broomfield CO COLORADO 80021 Executive Officer Director Warren Katz 295 Interlocken Blvd. Suite 100 Broomfield CO COLORADO 80021 Director Michael Maurer 295 Interlocken Blvd. Suite 100 Broomfield CO COLORADO 80021 Director Patrick Murphy 295 Interlocken Blvd Suite 100 Broomfield CO COLORADO 80021 Director William Roper 295 Interlocken Blvd. Suite 100 Broomfield CO COLORADO 80021 Director Steven Alesio 295 Interlocken Blvd Suite 100 Broomfield CO COLORADO 80021 Director Other Technology Decline to Disclose 06b false 2022-07-26 false true true true Convertible Promissory Notes and equity securities issuable upon conversion. false 0 Indefinite 2260000 Indefinite false 3 0 0 0 false Vita Inclinata Technologies, Inc. /s/ Derek Martin Derek Martin General Counsel 2022-08-03