0001520049-16-000008.txt : 20161228 0001520049-16-000008.hdr.sgml : 20161228 20161228150353 ACCESSION NUMBER: 0001520049-16-000008 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20161228 DATE AS OF CHANGE: 20161228 EFFECTIVENESS DATE: 20161228 FILER: COMPANY DATA: COMPANY CONFORMED NAME: PAX Labs, Inc. CENTRAL INDEX KEY: 0001520049 IRS NUMBER: 870798194 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-277167 FILM NUMBER: 162072405 BUSINESS ADDRESS: STREET 1: 660 ALABAMA STREET CITY: SAN FRANCISCO STATE: CA ZIP: 94110 BUSINESS PHONE: 415-829-2336 MAIL ADDRESS: STREET 1: 660 ALABAMA STREET CITY: SAN FRANCISCO STATE: CA ZIP: 94110 FORMER COMPANY: FORMER CONFORMED NAME: Ploom, Inc. DATE OF NAME CHANGE: 20110505 D 1 primary_doc.xml X0707 D LIVE 0001520049 PAX Labs, Inc. 660 ALABAMA STREET, 2ND FLOOR SAN FRANCISCO CA CALIFORNIA 94110 415-829-2336 DELAWARE Ploom, Inc. Corporation true James Monsees c/o PAX Labs, Inc. 660 Alabama Street, 2nd Floor San Francisco CA CALIFORNIA 94110 Executive Officer Director Adam Bowen c/o PAX Labs, Inc. 660 Alabama Street, 2nd Floor San Francisco CA CALIFORNIA 94110 Executive Officer Director Harold Handelsman c/o PAX Labs, Inc. 660 Alabama Street, 2nd Floor San Francisco CA CALIFORNIA 94110 Director Riaz Valani c/o Ploom Investment LLC 575 University Avenue Palo Alto CA CALIFORNIA 94301 Director Nicholas Pritzker c/o Tao Invest LLC 1 Letterman Drive, Building C, Suite 420 San Francisco CA CALIFORNIA 94129 Director Tyler Goldman c/o PAX Labs, Inc. 660 Alabama Street, 2nd Floor San Francisco CA CALIFORNIA 94110 Executive Officer Timothy Danaher c/o PAX Labs, Inc. 660 Alabama Street, 2nd Floor San Francisco CA CALIFORNIA 94110 Executive Officer Other Decline to Disclose 06b false 2016-12-19 false true false 0 29999997 4378778 25621219 false 2 0 0 0 false PAX Labs, Inc. Tyler Goldman Tyler Goldman CEO 2016-12-28