0001922683-22-000002.txt : 20220411 0001922683-22-000002.hdr.sgml : 20220411 20220411114312 ACCESSION NUMBER: 0001922683-22-000002 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20220411 DATE AS OF CHANGE: 20220411 EFFECTIVENESS DATE: 20220411 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Gaingels Forma AI LLC CENTRAL INDEX KEY: 0001922683 IRS NUMBER: 881626494 STATE OF INCORPORATION: VT FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-441256 FILM NUMBER: 22818937 BUSINESS ADDRESS: STREET 1: 3 MAIN STREET STREET 2: SUITE 214 CITY: BURLINGTON STATE: VT ZIP: 05401 BUSINESS PHONE: 9178433621 MAIL ADDRESS: STREET 1: C/O GAINGELS MANAGEMENT LLC STREET 2: PO BOX 927 CITY: BURLINGTON STATE: VT ZIP: 05402 FORMER COMPANY: FORMER CONFORMED NAME: Gaingels Foma AI LLC DATE OF NAME CHANGE: 20220408 D 1 primary_doc.xml X0708 D LIVE 0001922683 Gaingels Forma AI LLC 3 MAIN STREET SUITE 214 BURLINGTON VT VERMONT 05401 9178433621 VERMONT Gaingels Foma AI LLC Limited Liability Company true 2022 David Beatty c/o Gaingels Management LLC PO Box 927 Burlington VT VERMONT 05402 Executive Officer Mr. Beatty is Manager of Gaingels Management LLC, which, in turn, is the Manager of the Issuer. Other Decline to Disclose 06b false 2022-04-07 false true false 2500 112000 112000 0 false 9 0 0 0 true false Gaingels Forma AI LLC /s/ David Beatty David Beatty Manager of Gaingels Management LLC, Manager 2022-04-11