0001894002-21-000001.txt : 20211123 0001894002-21-000001.hdr.sgml : 20211123 20211123164307 ACCESSION NUMBER: 0001894002-21-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20211123 DATE AS OF CHANGE: 20211123 EFFECTIVENESS DATE: 20211123 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Collins FMT, Inc CENTRAL INDEX KEY: 0001894002 IRS NUMBER: 850810129 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-422289 FILM NUMBER: 211439097 BUSINESS ADDRESS: STREET 1: 244 5TH AVE STREET 2: SUITE R265 CITY: NEW YORK STATE: NY ZIP: 10001 BUSINESS PHONE: 9176642860 MAIL ADDRESS: STREET 1: 244 5TH AVE STREET 2: SUITE R265 CITY: NEW YORK STATE: NY ZIP: 10001 D 1 primary_doc.xml X0708 D LIVE 0001894002 Collins FMT, Inc 244 5TH AVE SUITE R265 New York NY NEW YORK 10001 9176642860 DELAWARE None None Corporation true 2020 Richard S Collins 244 5TH AVE SUITE R265 New York NY NEW YORK 10001 Executive Officer Director Tullo Britton 244 5TH AVE SUITE R265 New York NY NEW YORK 10001 Executive Officer Other Technology Decline to Disclose 06b false 2021-10-07 false true true true SAFEs for preferred stock of the corporation false 10000 450000 90000 360000 false 6 0 0 0 false Collins FMT, Inc Richard S Collins Richard S Collins Founder & CEO 2021-11-23