0001859564-21-000001.txt : 20210608
0001859564-21-000001.hdr.sgml : 20210608
20210608171329
ACCESSION NUMBER: 0001859564-21-000001
CONFORMED SUBMISSION TYPE: D
PUBLIC DOCUMENT COUNT: 1
ITEM INFORMATION: 06b
FILED AS OF DATE: 20210608
DATE AS OF CHANGE: 20210608
EFFECTIVENESS DATE: 20210608
FILER:
COMPANY DATA:
COMPANY CONFORMED NAME: AFFIRMXH INC.
CENTRAL INDEX KEY: 0001859564
IRS NUMBER: 000000000
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: D
SEC ACT: 1933 Act
SEC FILE NUMBER: 021-402145
FILM NUMBER: 211002996
BUSINESS ADDRESS:
STREET 1: 1005 TAHOE GLEN PLACE
CITY: CARY
STATE: NC
ZIP: 27513
BUSINESS PHONE: 408-888-1281
MAIL ADDRESS:
STREET 1: 1005 TAHOE GLEN PLACE
CITY: CARY
STATE: NC
ZIP: 27513
D
1
primary_doc.xml
X0708
D
LIVE
0001859564
AFFIRMXH INC.
1005 TAHOE GLEN PLACE
CARY
NC
NORTH CAROLINA
27513
408-888-1281
DELAWARE
None
None
Corporation
true
2020
IAN
SHADFORTH
1005 TAHOE GLEN PLACE
CARY
NC
NORTH CAROLINA
27513
Executive Officer
Director
THOMAS
HALL
1005 TAHOE GLEN PLACE
CARY
NC
NORTH CAROLINA
27513
Director
FRANK
WESTERMANN
1005 TAHOE GLEN PLACE
CARY
NC
NORTH CAROLINA
27513
Director
LEIF
BOWMAN
1005 TAHOE GLEN PLACE
CARY
NC
NORTH CAROLINA
27513
Director
Other Technology
Decline to Disclose
- 06b
false
2021-06-08
false
true
true
false
10000
1799959
305000
1494959
Series Seed Preferred Stock
false
7
0
0
0
ALL PROCEEDS SHALL BE USED AS WORKING CAPITAL
false
AFFIRMXH INC.
/s/Ian Shadforth
Ian Shadforth
CEO
2021-06-08