0001559831-13-000003.txt : 20131126 0001559831-13-000003.hdr.sgml : 20131126 20131126161000 ACCESSION NUMBER: 0001559831-13-000003 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20131126 DATE AS OF CHANGE: 20131126 EFFECTIVENESS DATE: 20131126 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Etaphase Inc CENTRAL INDEX KEY: 0001559831 IRS NUMBER: 455471013 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-207064 FILM NUMBER: 131244306 BUSINESS ADDRESS: STREET 1: 22134 NE 137TH STREET CITY: WOODINVILLE STATE: WA ZIP: 98077-5802 BUSINESS PHONE: 206-300-3033 MAIL ADDRESS: STREET 1: 22134 NE 137TH STREET CITY: WOODINVILLE STATE: WA ZIP: 98077-5802 D 1 primary_doc.xml X0707 D LIVE 0001559831 Etaphase Inc 22134 NE 137TH STREET WOODINVILLE WA WASHINGTON 98077-5802 206-300-3033 DELAWARE None None Corporation true 2012 Christopher Somogyi 22134 NE 137th Street Woodinville WA WASHINGTON 98077 Executive Officer Director Promoter James Ben Shaw 7 Big Rock Road Manchester MA MASSACHUSETTS 01944 Executive Officer Director Promoter Joseph Koepnick 2031 Park Blvd Palo Alto CA CALIFORNIA 94306 Director Promoter Michael Weber-Grabau 825 La Crosse Court Sunnyvale CA CALIFORNIA 94087 Promoter John Gustafson 964 Piemonte Dr. Pleasanton CA CALIFORNIA 94566 Director Other Technology Decline to Disclose 06b false 2013-11-12 false true true true false 0 500000 50000 450000 false 2 0 0 0 false Etaphase Inc /s/ James B Shaw James B Shaw Chief Financial Officer 2013-11-26