0001559831-17-000003.txt : 20171205 0001559831-17-000003.hdr.sgml : 20171205 20171205133223 ACCESSION NUMBER: 0001559831-17-000003 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20171205 DATE AS OF CHANGE: 20171205 EFFECTIVENESS DATE: 20171205 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: 021-300079 FILM NUMBER: 171239242 BUSINESS ADDRESS: STREET 1: 8201 164TH AVENUE NE STREET 2: SUITE 200 CITY: REDMOND STATE: WA ZIP: 98052 BUSINESS PHONE: 206-300-3033 MAIL ADDRESS: STREET 1: 8201 164TH AVENUE NE STREET 2: SUITE 200 CITY: REDMOND STATE: WA ZIP: 98052 D 1 primary_doc.xml X0708 D LIVE 0001559831 Etaphase Inc 8201 164TH AVENUE NE SUITE 200 REDMOND WA WASHINGTON 98052 206-300-3033 DELAWARE None None Corporation true Doug Lockie 8201 164th Avenue NE Suite 200 Redmond WA WASHINGTON 98052 Executive Officer Director Promoter John Gustafson 8201 164th Avenue NE Suite 200 Redmond WA WASHINGTON 98052 Director Joseph Koepnick 8201 164th Avenue NE Suite 200 Redmond WA WASHINGTON 98052 Director James Benedict Shaw 8201 164th Avenue NE Suite 200 Redmond WA WASHINGTON 98052 Director Christopher Somogyi 8201 164th Avenue NE Suite 200 Redmond WA WASHINGTON 98052 Director William Colleran 8201 164th Avenue NE Suite 200 Redmond WA WASHINGTON 98052 Director Ruth Ann Mullen 8201 164th Avenue NE Suite 200 Redmond WA WASHINGTON 98052 Executive Officer Other Technology Decline to Disclose 06b false 2017-11-21 false true false 0 975094 975094 0 false 11 0 0 0 false Etaphase Inc /s/Doug Lockie Doug Lockie President and Chief Executive Officer 2017-12-05