UNITED STATES
SECURITIES AND EXCHANGE COMMISSION
Washington, D.C. 20549

FORM C

Name of issuer:*	Click here to enter text.
(150 character limit, must exactly match the issuer name in the EDGAR Profile)
File Number (if any):	020-Click here to enter text.

(Mark one.)*

Form C: Offering Statement
Form C-U: Progress Update Provide update on the progress of the issuer in meeting the target offering amount:
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(256 character limit)
Form C/A: Amendment to Offering Statement Describe the Nature of the Amendment:
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(256 character limit)
false Check box if Amendment is material and investors must reconfirm within five business days.
Form C-AR: Annual Report:
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Period Date (MM-DD-YYYY)
Form C-AR/A: Amendment to Annual Report
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Period Date (MM-DD-YYYY)
Form C-TR: Termination of Reporting (skip to signature page)
Indicate by check mark if this is a Withdrawal of any of the above form types.
[Note: If Withdrawal is checked, skip to the Signature Page. Any content completed between the cover and the signature page will be ignored.]

*	Indicates required field for all submission types.

Issuer Information

Legal status of issuer:**	Select
If other is selected, please specify form of organization: Click here to enter text.
(256 character limit)
Jurisdiction of Incorporation/Organization:**	Select
Date of Incorporation/Organization:**	Click here to enter date.

Physical address of Issuer:

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Address Line 1** (40 character limit)	Address Line 2 (40 character limit, optional)
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City** (30 character limit)	State or Country**	Zip Code** (10 character limit)
Website of issuer:**
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(256 character limit)

Note:	The following section is only required for Forms C, C-U, and C/A . All items are required unless otherwise indicated:

Intermediary through which the Offering will be Conducted:

CIK number of intermediary:	Click here to enter text.
(10 character limit)
Name of intermediary through which the offering will be conducted:
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(150 character limit, must exactly match name in the EDGAR Profile)
SEC file number of intermediary:	Click here to enter text.
(15 character limit)
CRD number, if applicable, of intermediary:	Click here to enter text.
(9 character limit, optional)

**	Indicates required field for all submission types except Widthdrawals.

Offering Information

Note:	The following section is required for Form C, C-U and C/A. All items are required unless otherwise indicated.

Amount of compensation to be paid to the intermediary, whether as a dollar amount or a percentage of the offering amount, or a good faith estimate if the exact amount is not available at the time of the filing, for conducting the offering, including the amount of referral and any other fees associated with the offering:*
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(256 character limit)
Any other financial interest in the issuer held by the intermediary, or any arrangement for the intermediary to acquire such an interest (optional):
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(256 character limit)
Type of Security Offered:	Select
If Other is selected, include a description of Other security type: Click here to enter text.
(256 character limit)
Target number of securities to be offered: (not required if Debt is selected as Type of	Click here to enter text.
Security Offered)	(10 character limit)
Price (or Method for Determining Price)
Price:	$Click here to enter text.
Method for Determining Price:	Click here to enter text.
(256 character limit)
Target offering amount:	Click here to enter text.
Oversubscriptions accepted (Yes/No):	Select
If yes, disclose how oversubscriptions will be allocated:	Select
If Other is selected, include a description: Click here to enter text.
(256 character limit)
Maximum Offering Amount (if oversubscriptions will be accepted):	Click here to enter text.
Deadline to reach the target offering amount:	Click here to enter date.

NOTE:	If the sum of the investment commitments does not equal or exceed the target offering amount at the offering deadline, no securities will be sold in the offering, investment commitments will be cancelled and committed funds will be returned.

Disclosure Requirements

Note:	This section is required for Forms C, C-U, C/A, C-AR and C-AR/A. All items are required unless otherwise indicated.

Current number of employees:	Click here to enter text.
(7 character limit)

Most recent fiscal year-end:	Prior fiscal year-end:
Total Assets:	$Click here to enter text.	$Click here to enter text.
Cash & Cash Equivalents:	$Click here to enter text.	$Click here to enter text.
Accounts Receivable:	$Click here to enter text.	$Click here to enter text.
Short-term Debt:	$Click here to enter text.	$Click here to enter text.
Long-term Debt:	$Click here to enter text.	$Click here to enter text.
Revenues/Sales:	$Click here to enter text.	$Click here to enter text.
Cost of Goods Sold:	$Click here to enter text.	$Click here to enter text.
Taxes Paid:	$Click here to enter text.	$Click here to enter text.
Net Income:	$Click here to enter text.	$Click here to enter text.

Note:	All fields in the above table have a limit of 16 characters (e.g., 00,000,000,000,000.00).

Jurisdiction

Note:	This section is required for Forms C, C-U, C/A.

Click the “Select Jurisdictions” button to select the jurisdictions in which the issuer intends to offer the securities:

Note:	Use the Select Jurisdictions button to add or remove items.

Selected jurisdictions in which the issuer intends to offer the securities:

SIGNATURES

Pursuant to the requirements of Sections 4(a)(6) and 4A of the Securities Act of 1933 and Regulation Crowdfunding (§ 227.100 et seq.), the issuer certifies that it has reasonable grounds to believe that it meets all of the requirements for filing on Form C and has duly caused this Form to be signed on its behalf by the duly authorized undersigned.

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Issuer* (must exactly match the issuer name in the EDGAR Profile)
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Signature*
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Title*

Pursuant to the requirements of Sections 4(a)(6) and 4A of the Securities Act of 1933 and Regulation Crowdfunding (§ 227.100 et seq.), this Form C has been signed by the following persons in the capacities and on the dates indicated.

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Signature*
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Title*
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Date*

(add, or remove, items as needed - only the most recently added row will be removed, up to 15 unique signatures may be added)

Instructions. 1. The form shall be signed by the issuer, its principal executive officer or officers, its principal financial officer, its controller or principal accounting officer and at least a majority of the board of directors or persons performing similar functions. 2. The name of each person signing the form shall be typed or printed beneath the signature. Intentional misstatements or omissions of facts constitute federal criminal violations. See 18 U.S.C. 1001.

*	Indicates required field for all submission types.