0001550790-19-000003.txt : 20190111 0001550790-19-000003.hdr.sgml : 20190111 20190110185847 ACCESSION NUMBER: 0001550790-19-000003 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20190111 DATE AS OF CHANGE: 20190110 EFFECTIVENESS DATE: 20190111 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Polyverse Corp CENTRAL INDEX KEY: 0001550790 IRS NUMBER: 454859787 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-330216 FILM NUMBER: 19521180 BUSINESS ADDRESS: STREET 1: 10400 NE 4TH STREET STREET 2: SUITE 500 CITY: BELLEVUE STATE: WA ZIP: 98004 BUSINESS PHONE: 1 (855) 765-9837 MAIL ADDRESS: STREET 1: 10400 NE 4TH STREET STREET 2: SUITE 500 CITY: BELLEVUE STATE: WA ZIP: 98004 FORMER COMPANY: FORMER CONFORMED NAME: Concurix Corp DATE OF NAME CHANGE: 20120523 D 1 primary_doc.xml X0708 D LIVE 0001550790 Polyverse Corp 10400 NE 4TH STREET SUITE 500 BELLEVUE WA WASHINGTON 98004 1 (855) 765-9837 DELAWARE Concurix Corp Corporation true Alexander Gounares 10400 NE 4th Street Suite 500 Bellevue WA WASHINGTON 98004 Executive Officer Director Other Technology Decline to Disclose 06b false 2018-12-28 false true Simple Agreement for Future Equity ("SAFE") - convertible equity. false 0 2000000 2000000 0 false 16 0 0 0 false Polyverse Corp Alexander Gounares Alexander Gounares Chief Executive Officer 2019-01-10