| FORM C |
UNITED STATES
SECURITIES AND EXCHANGE COMMISSION Washington, D.C. 20549 | OMB APPROVAL |
| OMB Number: ####-#### Estimated average burden hours per response: ##.# |
Form C: Filer Information
| Filer CIK: | 0001875718 |
| Filer CCC: | XXXXXXXX |
| File Number: | 020-28500 |
| Period: | 12-31-2022 |
| Is this a LIVE or TEST Filing? | 
LIVE
TEST
|
| Is this an electronic copy of an official filing submitted in paper format in connection with a hardship exemption? |  |
| Would you like a Return Copy? | |
Submission Contact Information
| Name: | |
| Phone Number: | |
| Contact E-Mail Address: | |
| Notify via Filing Website only? |  |
Form C: Issuer Information
Issuer Information
| Name of Issuer: | Adaptogens, PBC |
Legal Status of Issuer:
| Form: | Corporation |
| Jurisdiction of Incorporation/Organization: |
DELAWARE
|
| Date of Incorporation/Organization: | 07-15-2021 |
Physical Address of Issuer:
| Address 1: | 1601 29th St STE 1292 PMB 1017 |
| City: | Boulder |
| State/Country: |
COLORADO
|
| Mailing Zip/Postal Code: | 80301 |
| Website of Issuer: | https://wearerasa.com/ |
Form C: Offering Information
Offering Information
Form C: Annual Report Disclosure Requirements
Annual Report Disclosure Requirements
| Current Number of Employees: | 10 |
| Total Assets Most Recent Fiscal Year-end: | 3431983.00 |
| Total Assets Prior Fiscal Year-end: | 2654774.00 |
| Cash and Cash Equivalents Most Recent Fiscal Year-end: | 953385.00 |
| Cash and Cash Equivalents Prior Fiscal Year-end: | 234451.00 |
| Accounts Receivable Most Recent Fiscal Year-end: | 18270.00 |
| Accounts Receivable Prior Fiscal Year-end: | 19271.00 |
| Short-term Debt Most Recent Fiscal Year-end: | 0.00 |
| Short-term Debt Prior Fiscal Year-end: | 0.00 |
| Long-term Debt Most Recent Fiscal Year-end: | 0.00 |
| Long-term Debt Prior Fiscal Year-end: | 0.00 |
| Revenue/Sales Most Recent Fiscal Year-end: | 5445225.00 |
| Revenue/Sales Prior Fiscal Year-end: | 5070221.00 |
| Cost of Goods Sold Most Recent Fiscal Year-end: | 2797060.00 |
| Cost of Goods Sold Prior Fiscal Year-end: | 2594148.00 |
| Taxes Paid Most Recent Fiscal Year-end: | 0.00 |
| Taxes Paid Prior Fiscal Year-end: | 0.00 |
| Net Income Most Recent Fiscal Year-end: | -1627295.00 |
| Net Income Prior Fiscal Year-end: | -1044779.00 |
Form C: Signature
Signature
| Issuer: | Adaptogens, PBC |
| Signature: | Lenny Chase |
| Title: | Co-Chief Executive Officer |
Pursuant to the requirements of Sections 4(a)(6) and 4A of the Securities Act of 1933 and Regulation Crowdfunding (§ 227.100-503), this Form C has been signed by the following persons in the capacities and on the dates indicated.
| Signature: | Lopa Kay van der Mersch |
| Title: | Co-Chief Executive Officer & Founder |
| Date: | 05-03-2023 |
Pursuant to the requirements of Sections 4(a)(6) and 4A of the Securities Act of 1933 and Regulation Crowdfunding (§ 227.100-503), this Form C has been signed by the following persons in the capacities and on the dates indicated.
| Signature: | Lenny Chase |
| Title: | Co-Chief Executive Officer |
| Date: | 05-03-2023 |