schemaVersion:

Form C: Filer Information

Filer CIK:
0001858449 
Filer CCC:
XXXXXXXX 
File Number:
020-28811 
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Submission Contact Information

Name:
 
Phone Number:
 
Contact E-Mail Address:
 
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Form C: Issuer Information

Issuer Information

Name of Issuer:

Mediloq, Inc. 

Check box if Amendment is material and investors will have five business days to reconfirm Checkbox not checked
Describe the Nature of the Amendment:

Issuer is extending the length of their campaign. 

Legal Status of Issuer:

Form:

Corporation 

Jurisdiction of Incorporation/Organization:

DELAWARE  

Date of Incorporation/Organization:

10-12-2016 

Physical Address of Issuer:

Address 1:

5546 SPINE RD 

Address 2:

UNIT 104 

City:

BOULDER 

State/Country:

COLORADO  

Mailing Zip/Postal Code:

80301 

Website of Issuer:

https://www.mediloq.com/ 

Is there a Co-issuer? Radio button not checked Yes Radio button checked No

Intermediary through which the Offering will be Conducted:

CIK:

0001810362 

Company Name:

IGNITE SOCIAL IMPACT INC. 

Commission File Number:

007-00237 

CRD Number:

310501 

Form C: Offering Information

Offering Information

Amount of compensation to be paid to the intermediary, whether as a dollar amount or a percentage of the offering amount, or a good faith estimate if the exact amount is not available at the time of the filing, for conducting the offering, including the amount of referral and any other fees associated with the offering:

7.0% 

Any other financial interest in the issuer held by the intermediary, or any arrangement for the intermediary to acquire such an interest:

None 

Type of Security Offered:

Other 

Specify:

Class B Non-Voting Common Stock 

Target Number of Securities to be Offered:

8000 

Price:

1.25000 

Target Offering Amount:

10000.00 

Maximum Offering Amount (if different from Target Offering Amount):

1070000.00 

Oversubscriptions Accepted: Radio button checked Yes Radio button not checked No
If yes, disclose how oversubscriptions will be allocated:

Other 

Provide a description:

At the Company's discretion 

Deadline to reach the Target Offering Amount:

06-29-2022 

NOTE: If the sum of the investment commitments does not equal or exceed the target offering amount at the offering deadline, no securities will be sold in the offering, investment commitments will be cancelled and committed funds will be returned.

Form C: Annual Report Disclosure Requirements

Annual Report Disclosure Requirements

Current Number of Employees:

0.00 

Total Assets Most Recent Fiscal Year-end:

55363.00 

Total Assets Prior Fiscal Year-end:

52759.00 

Cash and Cash Equivalents Most Recent Fiscal Year-end:

2981.00 

Cash and Cash Equivalents Prior Fiscal Year-end:

1154.00 

Accounts Receivable Most Recent Fiscal Year-end:

0.00 

Accounts Receivable Prior Fiscal Year-end:

0.00 

Short-term Debt Most Recent Fiscal Year-end:

58724.00 

Short-term Debt Prior Fiscal Year-end:

57409.00 

Long-term Debt Most Recent Fiscal Year-end:

126615.00 

Long-term Debt Prior Fiscal Year-end:

79542.00 

Revenue/Sales Most Recent Fiscal Year-end:

39091.00 

Revenue/Sales Prior Fiscal Year-end:

54330.00 

Cost of Goods Sold Most Recent Fiscal Year-end:

52211.00 

Cost of Goods Sold Prior Fiscal Year-end:

63831.00 

Taxes Paid Most Recent Fiscal Year-end:

0.00 

Taxes Paid Prior Fiscal Year-end:

0.00 

Net Income Most Recent Fiscal Year-end:

-45784.00 

Net Income Prior Fiscal Year-end:

-39237.00 

Using the list below, select the jurisdictions in which the issuer intends to offer the securities:

WYOMING  

Form C: Signature

Signature

Pursuant to the requirements of Sections 4(a)(6) and 4A of the Securities Act of 1933 and Regulation Crowdfunding (§ 227.100-503), the issuer certifies that it has reasonable grounds to believe that it meets all of the requirements for filing on Form C and has duly caused this Form to be signed on its behalf by the duly authorized undersigned.

Issuer:

Mediloq, Inc. 

Signature:

Daniel Estoque 

Title:

CEO 

Pursuant to the requirements of Sections 4(a)(6) and 4A of the Securities Act of 1933 and Regulation Crowdfunding (§ 227.100-503), this Form C has been signed by the following persons in the capacities and on the dates indicated.

Signature:

Daniel Estoque 

Title:

CEO 

Date:

03-29-2022