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Form C-U Block Forms, Inc.

August 17, 2022 3:50 PM EDT


  
    C-U
    
      
        
          0001914734
          XXXXXXXX
        
        020-29825
      
      LIVE
      
        false
        false
        false
      
    
  
  
    
      $151,920.00 IN INVESTMENT COMMITMENTS. PAYMENTS TILL PROCESSING; FINAL FIGURE NOT YET DETERMINED.
      
        Block Forms, Inc.
        
          Corporation
          DE
          12-17-2018
        
        
          1441 BUTLER AVE. #12
          LOS ANGELES
          CA
          90025
        
        https://blockforms.co/
      
      N
      MicroVenture Marketplace Inc.
      0001478147
      008-68458
      152513
    
    
      At the conclusion of the Offering, the Issuer shall pay to the Intermediary a fee consisting of 5% commission based on the amount of investments raised in the Offering.
      The Intermediary will receive a number of Crowd Notes of the Issuer equal to 2% of the total number of Securities sold by the Issuer in the Offering.
      Other
      Crowd Note
      50000
      1.00000
      50000.00
      Y
      Other
      At the Company's discretion
      500000.00
      08-15-2022
    
    
      4.00
      11696.74
      8701.63
      11696.74
      8701.63
      0.00
      0.00
      0.00
      0.00
      0.00
      0.00
      12000.00
      0.00
      2097.00
      0.00
      559.00
      1302.00
      -14939.52
      -31704.23
      AL
      AK
      AZ
      AR
      CA
      CO
      CT
      DE
      DC
      FL
      GA
      HI
      ID
      IL
      IN
      IA
      KS
      KY
      LA
      ME
      MD
      MA
      MI
      MN
      MS
      MO
      MT
      NE
      NV
      NH
      NJ
      NM
      NY
      NC
      ND
      OH
      OK
      OR
      PA
      PR
      RI
      SC
      SD
      TN
      TX
      UT
      VT
      VA
      WA
      WV
      WI
      WY
    
    
      
        Block Forms, Inc.
        /s/ TANYA VUCETIC
        PRESIDENT & CEO
      
      
        
          /s/ TANYA VUCETIC
          PRESIDENT & CEO
          08-17-2022
        
      
    
  





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