# SimpleForms, PBC — Form C (Regulation Crowdfunding)

SimpleForms, PBC of San Diego, CA filed a Form C (Regulation Crowdfunding) with the SEC on 2017-11-06. Target raise $10K, up to $200K. Offered through NetCapital Funding Portal Inc..

## Offering

- Filed: 2017-11-06
- Form: C
- Accession: 0001669191-17-000163
- Target amount: $10K
- Maximum amount: $200K
- Security type: Common Stock
- Securities offered: 2,000
- Price: $5.0000
- Deadline: 2018-02-05
- Funding portal / intermediary: NetCapital Funding Portal Inc.
- Intermediary file number: 007-00035
- Intermediary CRD: 283596

## Issuer

- CIK: 0001684793
- Website: www.simpleforms.com
- Legal status: Corporation
- Organized in: DE
- Incorporated: 2016-03-18
- Address: 550 B St., San Diego, CA, 92101
- Employees: 3

## Financials (as filed)

- Total assets (most recent): $59K
- Cash (most recent): $217
- Net income (most recent): $-59K
- Short-term debt: $89K

## People (7)

| Name | Role | Location |
| --- | --- | --- |
| Emily Rotolo | Board Member | San Diego, CA |
| Emily Rotolo | Principal Accounting Officer | San Diego, CA |
| Emily Rotolo | Principal Executive Officer | San Diego, CA |
| Emily Rotolo | Principal Financial Officer | San Diego, CA |
| Matthew Sheppard | Board Member | San Diego, CA |
| Jonathan Romanowski | Board Member | San Diego, CA |
| Diana Le | Board Member | San Diego, CA |

## Reg CF filing history (3)

| Filed | Form | Target | Max |
| --- | --- | --- | --- |
| [2018-01-31](https://search.stillhousedata.com/formc/0001669191-18-000096) | C/A | $10K | $200K |
| [2017-11-13](https://search.stillhousedata.com/formc/0001669191-17-000171) | C/A | $10K | $200K |

## More

- [CIK 1684793 on SEC EDGAR (source of record)](https://www.sec.gov/cgi-bin/browse-edgar?action=getcompany&CIK=1684793&type=&dateb=&owner=include&count=40)
- [This page as markdown (for LLM agents)](https://search.stillhousedata.com/formc/0001669191-17-000163.md)
- [Search all SEC filings, advisers and people on Adviser Search](https://search.stillhousedata.com/)

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