0001572900-17-000001.txt : 20170331 0001572900-17-000001.hdr.sgml : 20170331 20170331124108 ACCESSION NUMBER: 0001572900-17-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20170331 DATE AS OF CHANGE: 20170331 EFFECTIVENESS DATE: 20170331 FILER: COMPANY DATA: COMPANY CONFORMED NAME: ICERTIS, Inc. CENTRAL INDEX KEY: 0001572900 IRS NUMBER: 800380654 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-283787 FILM NUMBER: 17729172 BUSINESS ADDRESS: STREET 1: 14711 NE 29TH PLACE, STE 100 CITY: BELLEVUE STATE: WA ZIP: 98007 BUSINESS PHONE: 425-922-3562 MAIL ADDRESS: STREET 1: 14711 NE 29TH PLACE, STE 100 CITY: BELLEVUE STATE: WA ZIP: 98007 D 1 primary_doc.xml X0707 D LIVE 0001572900 ICERTIS, Inc. 14711 NE 29TH PLACE, STE 100 BELLEVUE WA WASHINGTON 98007 425-922-3562 DELAWARE None None Corporation true Samir Bodas 14711 NE 29th Place Suite 100 Bellevue WA WASHINGTON 98007 Executive Officer Director Promoter Monish Darda 14711 NE 29th Place Suite 100 Bellevue WA WASHINGTON 98007 Director Vijay Vashee 14711 NE 29th Place Suite 100 Bellevue WA WASHINGTON 98007 Director Prem Pavoor 14711 NE 29th Place Suite 100 Bellevue WA WASHINGTON 98007 Director Mark Terbeek 14711 NE 29th Place Suite 100 Bellevue WA WASHINGTON 98007 Director John Connors 14711 NE 29th Place Suite 100 Bellevue WA WASHINGTON 98007 Director Dan Kaltenbach 14711 NE 29th Place Suite 100 Bellevue WA WASHINGTON 98007 Executive Officer Promoter Kabir Narang 14711 NE 29th Place Suite 100 Bellevue WA WASHINGTON 98007 Director Other Decline to Disclose 06b false 2017-03-17 false true false 0 25000033 20000006 5000027 false 9 0 0 0 false ICERTIS, Inc. /s/ Dan Kaltenbach Dan Kaltenbach Chief Financial Officer 2017-03-30