0001359572-14-000001.txt : 20140424 0001359572-14-000001.hdr.sgml : 20140424 20140424123312 ACCESSION NUMBER: 0001359572-14-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20140424 DATE AS OF CHANGE: 20140424 EFFECTIVENESS DATE: 20140424 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Damballa, Inc. CENTRAL INDEX KEY: 0001359572 IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-216182 FILM NUMBER: 14780914 BUSINESS ADDRESS: STREET 1: 817 WEST PEACHTREE STREET, NW STREET 2: SUITE 800 CITY: ATLANTA STATE: GA ZIP: 30308 BUSINESS PHONE: 404-761-7400 MAIL ADDRESS: STREET 1: 817 WEST PEACHTREE STREET, NW STREET 2: SUITE 800 CITY: ATLANTA STATE: GA ZIP: 30308 FORMER COMPANY: FORMER CONFORMED NAME: Damballa Inc. DATE OF NAME CHANGE: 20060417 D 1 primary_doc.xml X0707 D LIVE 0001359572 Damballa, Inc. 817 WEST PEACHTREE STREET, NW SUITE 800 ATLANTA GA GEORGIA 30308 404-761-7400 DELAWARE Damballa Inc. Corporation true David Scholtz 817 W. Peachtree Street, NW Suite 800 Atlanta GA GEORGIA 30308 Executive Officer Director Thomas Savini 817 W. Peachtree Street, NW Suite 800 Atlanta GA GEORGIA 30308 Executive Officer Merrick Furst 1707 Wildwood Road Atlanta GA GEORGIA 30306 Director Jim Gauer c/o Palomar Ventures 100 Wilshire Blvd., Suite 1700 Santa Monica CA CALIFORNIA 90401 Director John Mandile c/o Sigma Partners 20 Custom House Street, Suite 830 Boston MA MASSACHUSETTS 02110 Director Bruce Cleveland c/o Interwest Partners 2710 Sand Hill Road, Second Floor Menlo Park CA CALIFORNIA 94025 Director Fran Dramis 101 Royal Dornoch Drive Duluth GA GEORGIA 30097 Director Philip Eliot c/o Paladin Capital Management 2020 K Street NW, Suite 400 Washington DC DISTRICT OF COLUMBIA 20006 Director David Welsh c/o Adam Street Partners, LLC One North Wacker Drive, Suite 2200 Chicago IL ILLINOIS 60606-2807 Director Other Technology Decline to Disclose 06b false 2014-04-10 false true false 0 13000002 13000002 0 false 19 0 0 0 false Damballa, Inc. /s/ David Scholtz David Scholtz Chief Executive Officer 2014-04-24