0001137638-14-000007.txt : 20140605 0001137638-14-000007.hdr.sgml : 20140605 20140605143233 ACCESSION NUMBER: 0001137638-14-000007 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20140605 DATE AS OF CHANGE: 20140605 EFFECTIVENESS DATE: 20140605 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Symform, Inc. CENTRAL INDEX KEY: 0001462275 IRS NUMBER: 261594671 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-218641 FILM NUMBER: 14893321 BUSINESS ADDRESS: STREET 1: 1008 WESTERN AVENUE, SUITE 400 CITY: SEATTLE STATE: WA ZIP: 98104 BUSINESS PHONE: (206) 227-5678 MAIL ADDRESS: STREET 1: 1008 WESTERN AVENUE, SUITE 400 CITY: SEATTLE STATE: WA ZIP: 98104 D 1 primary_doc.xml X0707 D LIVE 0001462275 Symform, Inc. 1008 WESTERN AVENUE, SUITE 400 SEATTLE WA WASHINGTON 98104 (206) 227-5678 DELAWARE None None Corporation true Erik Anderson 3720 Carillon Point Kirkland WA WASHINGTON 98033 Director Constance Freedman 430 N. Michigan Avenue, 5th Fl. Chicago IL ILLINOIS 60611 Director Mark Ashida 1008 Western Avenue, Suite 400 Seattle WA WASHINGTON 98104 Executive Officer Director Nilanjana Bhowmik 1050 Winter Street, Suite 2600 Waltham MA MASSACHUSETTS 02451 Director Bassam Tabbara 1008 Western Avenue, Suite 400 Seattle WA WASHINGTON 98104 Executive Officer Chad Waite 1616 Eastlake Avenue E., Suite 208 Seattle WA WASHINGTON 98102 Director Other Technology Decline to Disclose 06b false 2014-05-28 false true true false 0 500000 200000 300000 false 6 0 0 0 false Symform, Inc. /s/ Mark Ashida Mark Ashida CEO 2014-06-03