Form D, D_A

Field NameDescriptionData TypeOriginal/Engineered
schema_versionThe version of the XML schema used for the filing (e.g., "3.3").Text (String)Original
document_typeThe type of filing, always 'D'.Text (String)Original
test_or_liveIndicates if the submission is a "live" public filing or a "test" filing.BooleanOriginal

Issuer’s Identity

issuer_cikSEC-assigned Central Index Key for the issuerNumber (String)Original
issuer_previous_namesAny prior legal names of the issuerBooleanOriginal
edgar_previous_namesPrevious name, if anyText (String)Original
issuer_entity_typeLegal structure of the issuer (e.g., Corporation, LP, LLC, Trust)Text (String)Original
issuer_nameFull legal name of the issuerText (String)Original
incorporation_jurisdictionState or country where issuer is incorporated/organizedText (String)Original
year_of_incorporation_over_5_yearsYear the issuer was formed (or status if not yet formed/older than 5 years)BooleanOriginal
Principal Place of Business and Contact
issuer_nameFull legal name of the issuerText (String)Original
issuer_street1Primary business address line 1Text (String)Original
issuer_street2Primary business address line 2Text (String)Original
issuer_cityCity of principal business locationText (String)Original
issuer_state/issuer_state_descriptionState, province, or country of principal locationText (String)Original
issuer_zipPostal code of principal locationNumber (String)Original
issuer_phone_numberMain phone number of issuerNumber (String)Original

Related Persons

related_person_last_nameLast name of person related to issuerText (String)Original
related_person_first_nameFirst name of person related to issuerText (String)Original
related_person_middle_nameMiddle name (if applicable)Text (String)Original
related_person_street1Address line 1 of related personText (String)Original
related_person_street2Address line 2 of related personText (String)Original
related_person_cityCity of related personText (String)Original
related_person_state/related_person_state_descriptionState, province, or countryText (String)Original
related_person_zipPostal codeNumber (String)Original
related_person_relationshipsRole (Executive Officer, Director, Promoter)Text (String)Original
related_person_relationship_clarificationAdditional detail regarding relationshipText (String)Original

Industry Group

industry_group_typeSector classification (Banking, Tech, Healthcare, etc.)EnumOriginal
investment_fund_typeRequired if the industry_group_type is a Pooled Investment Fund (e.g., Hedge Fund, Private Equity Fund).Text (String)Original
is_1940_actIndicates if the fund is registered under the Investment Company Act of 1940.BooleanOriginal
issuer_investment_company_statusWhether issuer is registered as investment company under 1940 ActBooleanOriginal

Issuer Size

issuer_size_revenue_rangeIssuer’s revenue range (if disclosed)Text (String)Original
issuer_size_aggregate_net_asset_value_rangeIssuer’s NAV range (if disclosed)Text (String)Original
Federal Exemptions/Exclusions Claimed
federal_exemptions_exclusionsFederal securities exemptions relied upon (e.g., 506(b), 3(c)(1)). List of claimed exemptions/exclusions from the Investment Company Act (e.g., Rule 506(b), Rule 506(c)).Text (String)Original

Type of Filing

filing_type/type_of_filing_is_amendmentWhether notice is new or amendmentText (String)/BooleanOriginal
type_of_filing_date_of_first_saleDate when securities were first sold (if applicable)DateOriginal
type_of_filing_previous_accession_numberThe accession number of the original filing being amended (if isAmendment is true).Text (String)Original
yet_to_occur_first_saleIndicate if the first sale is yet to occurBooleanOriginal

Duration of Offering

duration_of_offering_more_than_one_yearWhether offering intended to last more than one yearBooleanOriginal

Type(s) of Securities Offered

securities_offeredTypes of securities (Equity, Debt, Fund Interests, etc.)Text (String)Original
types_of_securities_offered_is_equity_typeCheckbox for Equity (e.g., Common Stock).BooleanOriginal
types_of_securities_offered_is_pooled_investment_fund_typeCheckbox for Pooled Investment Fund InterestsBooleanOriginal
types_of_securities_offered_is_debt_typeCheckbox for Debt (e.g., Notes, Bonds).BooleanOriginal

Business Combination Transaction

business_combination_transactionWhether offering relates to merger, acquisition, or exchange offerBooleanOriginal
business_combination_transaction_clarificationAdditional detail if “Yes”Text (String)Original

Minimum Investment

minimum_investment_acceptedMinimum accepted investment from outside investorsNumber (Integer)Original

Sales Compensation

sales_compensation_listName of recipient of sales compensation/A table/list of all recipients of sales compensation (e.g., broker-dealers).Text (String)Original
sales_compensation_recipient_crdCRD number of recipientStringOriginal
sales_compensation_brokerName of broker/dealerText (String)Original
sales_compensation_broker_crdCRD number of broker/dealerStringOriginal
solicitation_statesStates/regions where solicitation occurredText (String)Original

Offering and Sales Amounts

offering_sales_total_offering_amountMaximum dollar amount offeredNumber (Integer)Original
offering_sales_total_amount_soldDollar amount sold to dateNumber (Integer/String)Original
offering_sales_total_remainingUnsold offering amountNumber (Integer/String)Original
offering_sales_clarificationAdditional detail if “Yes”Text (String)Original

Investors

investors_number_non_accredited_investorsNumber of non-accredited investors investedNumber (Integer)Original
investors_has_non_accredited_investorsIndicates if securities have been or may be sold to non-accredited investors.BooleanOriginal
investors_total_number_already_investedTotal number of investorsNumber (Integer)Original
Sales Commissions & Finder's Fees Expenses
sales_commissions_dollar_amountAmount of sales commissionsNumber (Integer)Original
sales_finders_fees_dollar_amountAmount of finder’s feesNumber (Integer)Original
sales_commissions_clarificationAdditional detail if “Yes”Text (String)Original

Use of Proceeds

use_of_proceeds_gross_proceeds_usedPortion of gross proceeds used to pay executives/directors/promotersNumber (Integer)Original
use_of_proceeds_gross_proceeds_used_is_estimateCheckbox to indicate if the amount in the field above is an estimate.BooleanOriginal
use_of_proceeds_clarificationAdditional detail if “Yes”Text (String)Original

Signature and Submission

signature_authorized_representativeThe person signing is a duly authorized representative of the issuer.BooleanOriginal
signature_name_of_issuerName of issuer certifying filingText (String)Original
name_of_signerName of authorized person signingText (String)Original
signature_titleTitle of signerText (String)Original
signature_nameElectronic representation of signatureText (String)Original
signature_dateDate of submission/signatureDateOriginal

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