0001476097-16-000003.txt : 20160405 0001476097-16-000003.hdr.sgml : 20160405 20160405105958 ACCESSION NUMBER: 0001476097-16-000003 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20160405 DATE AS OF CHANGE: 20160405 EFFECTIVENESS DATE: 20160405 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Affectiva, Inc. CENTRAL INDEX KEY: 0001476097 IRS NUMBER: 264691073 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-260649 FILM NUMBER: 161553341 BUSINESS ADDRESS: STREET 1: 465 WAVERLEY OAKS ROAD STREET 2: SUITE 320 CITY: WALTHAM STATE: MA ZIP: 02452-8420 BUSINESS PHONE: 781-996-3037 MAIL ADDRESS: STREET 1: 465 WAVERLEY OAKS ROAD STREET 2: SUITE 320 CITY: WALTHAM STATE: MA ZIP: 02452-8420 D 1 primary_doc.xml X0707 D LIVE 0001476097 Affectiva, Inc. 465 WAVERLEY OAKS ROAD SUITE 320 WALTHAM MA MASSACHUSETTS 02452 781-996-3037 DELAWARE None None Corporation true Nicholas Langeveld 465 Waverley Oaks Road Suite 320 Waltham MA MASSACHUSETTS 02452 Executive Officer Director David Berman 465 Waverley Oaks Road Suite 320 Waltham MA MASSACHUSETTS 02452 Director Rana el Kaliouby 465 Waverley Oaks Road Suite 320 Waltham MA MASSACHUSETTS 02452 Director Jeff Krentz 465 Waverley Oaks Road Suite 320 Waltham MA MASSACHUSETTS 02452 Director Hans Lindroth 465 Waverley Oaks Road Suite 320 Waltham MA MASSACHUSETTS 02452 Director John P. Nauseef 465 Waverley Oaks Road Suite 320 Waltham MA MASSACHUSETTS 02452 Director Wendy Wu 465 Waverley Oaks Road Suite 320 Waltham MA MASSACHUSETTS 02452 Director Other Technology Decline to Disclose 06b false 2016-03-24 false true false 0 14999998 3999999 10999999 false 3 0 0 0 false Affectiva, Inc. Nicholas Langeveld Nicholas Langeveld President 2016-04-05