0001571752-17-000005.txt : 20170720 0001571752-17-000005.hdr.sgml : 20170720 20170719184946 ACCESSION NUMBER: 0001571752-17-000005 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20170720 DATE AS OF CHANGE: 20170719 EFFECTIVENESS DATE: 20170720 FILER: COMPANY DATA: COMPANY CONFORMED NAME: PayClip, Inc. CENTRAL INDEX KEY: 0001571752 IRS NUMBER: 461328592 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-291091 FILM NUMBER: 17973133 BUSINESS ADDRESS: STREET 1: 3905 BOHANNON ROAD CITY: MENLO PARK STATE: CA ZIP: 94025 BUSINESS PHONE: 650-353-5927 MAIL ADDRESS: STREET 1: 3905 BOHANNON ROAD CITY: MENLO PARK STATE: CA ZIP: 94025 FORMER COMPANY: FORMER CONFORMED NAME: BlitzPay, Inc. DATE OF NAME CHANGE: 20130311 D 1 primary_doc.xml X0708 D LIVE 0001571752 PayClip, Inc. 3905 BOHANNON DRIVE, SUITE A MENLO PARK CA CALIFORNIA 94025 650-353-5927 DELAWARE BlitzPay, Inc. Corporation true 2012 Adolfo Babatz 3905 Bohannon Drive, Suite A Menlo Park CA CALIFORNIA 94025 Executive Officer Director Gene Lockhart 3905 Bohannon Drive, Suite A Menlo Park CA CALIFORNIA 94025 Director Diego Serebrisky 3905 Bohannon Drive, Suite A Menlo Park CA CALIFORNIA 94025 Director Luis Cervantes 3905 Bohannon Drive, Suite A Menlo Park CA CALIFORNIA 94025 Director Other Decline to Disclose 06b false 2017-07-07 false true false 0 1635747 1635747 0 Sale and Issuance of Series B-1 Preferred Stock and the underlying Common Stock issuable upon the conversion thereof. false 1 0 0 0 false PayClip, Inc. /s/Adolfo Babatz Adolfo Babatz CEO 2017-07-19