0001476097-19-000001.txt : 20190107 0001476097-19-000001.hdr.sgml : 20190107 20190107110824 ACCESSION NUMBER: 0001476097-19-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20190107 DATE AS OF CHANGE: 20190107 EFFECTIVENESS DATE: 20190107 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: 021-329790 FILM NUMBER: 19512614 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 X0708 D LIVE 0001476097 Affectiva, Inc. 294 Washington Street, Suite 1150 Boston MA MASSACHUSETTS 02108 781-996-3037 DELAWARE None None Corporation true Rana el Kaliouby 294 Washington Street, Suite 1150 Boston MA MASSACHUSETTS 02108 Executive Officer Director Jeff Krentz 294 Washington Street, Suite 1150 Boston MA MASSACHUSETTS 02108 Director Hans Lindroth 294 Washington Street, Suite 1150 Boston MA MASSACHUSETTS 02108 Director Jason Mahoney 294 Washington Street, Suite 1150 Boston MA MASSACHUSETTS 02108 Director Tim Peacock 294 Washington Street, Suite 1150 Boston MA MASSACHUSETTS 02108 Director Andrew Zeilman 294 Washington Street, Suite 1150 Boston MA MASSACHUSETTS 02108 Director Md Anis Uzzaman 294 Washington Street, Suite 1150 Boston MA MASSACHUSETTS 02108 Director Other Technology Decline to Disclose 06b false 2018-12-21 false true false 0 30000000 19999998 10000002 false 2 0 0 0 false Affectiva, Inc. Rana el Kaliouby Rana el Kaliouby Chief Executive Officer 2019-01-07