# Formation Data Systems, Inc. — Form D

Formation Data Systems, Inc. of FREMONT, CA, a company, filed a Form D exempt-offering notice with the SEC on 2016-07-12. The offering totals $20.0M, of which $6.0M was reported sold. Industry: Other Technology.

## Offering

- Filed: 2016-07-12
- Form: D
- Accession: 0001301283-16-000004
- Industry: Other Technology
- Exemptions: 06b
- Total offering: $20.0M
- Amount sold: $6.0M
- Remaining: $14.0M
- Investors: 4
- Date of first sale: 2016-06-29
- Security types: equity
- Revenue range: Decline to Disclose
- SEC file number: 021-266832

## Issuer

- Name: Formation Data Systems, Inc.
- CIK: 0001619133
- Entity type: Corporation
- Jurisdiction: DELAWARE
- Incorporated: 2012
- Address: 39141 CIVIC CENTER BLVD., SUITE 410, FREMONT, CA, 94538-5818
- Phone: 510-894-3867

## Officers, directors & promoters (8)

| Name | Role | Location |
| --- | --- | --- |
| Anthony Bettencourt | Director | Fremont, CA |
| Carl Ledbetter | Director | St. Louis, MO |
| Mark Lewis | Director | DAYTON, WA |
| Robert Schwartz | Director | New York, NY |
| Eric Chan | Executive Officer | Fremont, CA |
| Mark Lewis | Executive Officer | DAYTON, WA |
| Andrew Jenks | Director | Manhattan Beach, CA |
| Andrew Jenks | Executive Officer | Manhattan Beach, CA |

## Other filings by this issuer (1)

| Filed | Form | Offering | Sold |
| --- | --- | --- | --- |
| [2014-09-12](https://search.stillhousedata.com/formd/0001619133-14-000001) | D | $15.0M | $15.0M |

## More

- [CIK 1619133 on SEC EDGAR (source of record)](https://www.sec.gov/cgi-bin/browse-edgar?action=getcompany&CIK=1619133&type=&dateb=&owner=include&count=40)
- [This page as markdown (for LLM agents)](https://search.stillhousedata.com/formd/0001301283-16-000004.md)
- [Search all SEC filings, advisers and people on Adviser Search](https://search.stillhousedata.com/)

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