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