0001893198-21-000001.txt : 20211110 0001893198-21-000001.hdr.sgml : 20211110 20211110134303 ACCESSION NUMBER: 0001893198-21-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20211110 DATE AS OF CHANGE: 20211110 EFFECTIVENESS DATE: 20211110 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Live Fully, Inc. CENTRAL INDEX KEY: 0001893198 IRS NUMBER: 000000000 STATE OF INCORPORATION: CO FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-420669 FILM NUMBER: 211395832 BUSINESS ADDRESS: STREET 1: 17532 COLONIAL PARK DRIVE CITY: MONUMENT STATE: CO ZIP: 80132 BUSINESS PHONE: 206-332-1393 MAIL ADDRESS: STREET 1: 17532 COLONIAL PARK DRIVE CITY: MONUMENT STATE: CO ZIP: 80132 D 1 primary_doc.xml X0708 D LIVE 0001893198 Live Fully, Inc. 17532 COLONIAL PARK DRIVE MONUMENT CO COLORADO 80132 719-237-5684 COLORADO None None Corporation true 2018 Thomas M. Vierzba 17532 Colonial Park Drive Monument CO COLORADO 80132 Executive Officer Director Alan Greene 17532 Colonial Park Drive Monument CO COLORADO 80132 Executive Officer Director Troy Meester 17532 Colonial Park Drive Monument CO COLORADO 80132 Executive Officer Director Paul Pirog 17532 Colonial Park Drive Monument CO COLORADO 80132 Director Tiffany Huston 17532 Colonial Park Drive Monument CO COLORADO 80132 Executive Officer Director Michael Vierzba 17532 Colonial Park Drive Monument CO COLORADO 80132 Executive Officer Director Jeff Swigris 17532 Colonial Park Drive Monument CO COLORADO 80132 Executive Officer Director Donna Wood 17532 Colonial Park Drive Monument CO COLORADO 80132 Director Tom Vorpahl 17532 Colonial Park Drive Monument CO COLORADO 80132 Director Biotechnology Decline to Disclose 06b false 2021-10-01 false true true true false 5000 400000 200000 200000 false 4 0 0 0 false Live Fully, Inc. /s/Thomas M. Vierzba Thomas M. Vierzba Chief Executive Officer 2021-11-10