# Form Energy, Inc. — Form D/A

Form Energy, Inc. of SOMERVILLE, MA, a company, filed a Form D amendment with the SEC on 2021-03-31. The offering totals $76.0M, of which $76.0M was reported sold. Industry: Other.

## Offering

- Filed: 2021-03-31
- Form: D/A
- Accession: 0001567619-21-007202
- Industry: Other
- Exemptions: 06b
- Total offering: $76.0M
- Amount sold: $76.0M
- Investors: 19
- Date of first sale: 2020-08-28
- Security types: equity
- Revenue range: Decline to Disclose
- SEC file number: 021-375494

## Issuer

- Name: Form Energy, Inc.
- CIK: 0001717130
- Entity type: Corporation
- Jurisdiction: DELAWARE
- Incorporated: 2017
- Address: 30 DANE STREET, SOMERVILLE, MA, 02143
- Phone: 844-367-6462

## Officers, directors & promoters (30)

_Showing 25 of 30 people._

| Name | Role | Location |
| --- | --- | --- |
| Yet-Ming J Chiang | Director | Somerville, MA |
| Mateo A Jaramillo | Director | Somerville, MA |
| Mateo A Jaramillo | Executive Officer | Somerville, MA |
| William Henry Woodford IV | Executive Officer | Somerville, MA |
| Gabriel Kra | Director | Broomfield, CO |
| PHILIP J DEUTCH | Director | DALLAS, TX |
| Katie Rae | Director | Cambridge, MA |
| David Thomas Danielson | Director | Houston, TX |
| Jaimin J Rangwalla | Director | Somerville, MA |
| Marc J Mezvinsky | Director | Somerville, MA |
| Mateo Jaramillo | Director | Somerville, MA |
| Mateo Jaramillo | Executive Officer | Somerville, MA |
| Michael Skelly | Director | Somerville, MA |
| Theodore Wiley | Director | Somerville, MA |
| Theodore Wiley | Executive Officer | Somerville, MA |
| Lorenzo J Siciliano | Director | Somerville, MA |
| Yet-Ming A Chiang | Director | Somerville, MA |
| Yet-Ming A Chiang | Executive Officer | Somerville, MA |
| Jaimin Thomas Rangwalla | Director | Somerville, MA |
| Massimiliano Thomas Pieri | Director | Somerville, MA |
| Katie A Rae | Director | Somerville, MA |
| Gabriel A Kra | Director | Somerville, MA |
| Michael A Skelly | Director | Somerville, MA |
| Philip J. Thomas Deutch | Director | Somerville,, MA |
| Yet-Ming Chiang | Director | Somerville, MA |

## Other filings by this issuer (7)

| Filed | Form | Offering | Sold |
| --- | --- | --- | --- |
| [2022-10-04](https://search.stillhousedata.com/formd/0001567619-22-018111) | D | $451.8M | $335.4M |
| [2021-07-28](https://search.stillhousedata.com/formd/0001567619-21-014103) | D | $200.0M | $155.2M |
| [2020-09-15](https://search.stillhousedata.com/formd/0001567619-20-016703) | D | $52.0M | $52.0M |
| [2019-08-22](https://search.stillhousedata.com/formd/0001567619-19-017457) | D | $40.0M | $40.0M |
| [2018-05-09](https://search.stillhousedata.com/formd/0001140361-18-022404) | D/A | $1.6M | $1.6M |
| [2018-02-21](https://search.stillhousedata.com/formd/0001140361-18-009317) | D | $7.4M | $7.4M |
| [2017-09-19](https://search.stillhousedata.com/formd/0001140361-17-035873) | D | $2.0M | $2.0M |

## More

- [CIK 1717130 on SEC EDGAR (source of record)](https://www.sec.gov/cgi-bin/browse-edgar?action=getcompany&CIK=1717130&type=&dateb=&owner=include&count=40)
- [This page as markdown (for LLM agents)](https://search.stillhousedata.com/formd/0001567619-21-007202.md)
- [Search all SEC filings, advisers and people on Adviser Search](https://search.stillhousedata.com/)

---

Source: public SEC filing data via Adviser Search (https://search.stillhousedata.com).
Agents: this data is also queryable via MCP tools and read-only SQL — see https://search.stillhousedata.com/llms.txt.