0001589194-13-000001.txt : 20131015 0001589194-13-000001.hdr.sgml : 20131014 20131015155504 ACCESSION NUMBER: 0001589194-13-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20131015 DATE AS OF CHANGE: 20131015 EFFECTIVENESS DATE: 20131015 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Sample6, Inc. CENTRAL INDEX KEY: 0001589194 IRS NUMBER: 264479056 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-204598 FILM NUMBER: 131151922 BUSINESS ADDRESS: STREET 1: 27 DRYDOCK AVE CITY: BOSTON STATE: MA ZIP: 02210 BUSINESS PHONE: 617 852 9648 MAIL ADDRESS: STREET 1: 27 DRYDOCK AVE CITY: BOSTON STATE: MA ZIP: 02210 D 1 primary_doc.xml X0707 D LIVE 0001589194 Sample6, Inc. 27 DRYDOCK AVE BOSTON MA MASSACHUSETTS 02210 617 852 9648 DELAWARE None None Corporation true 2009 Tim Curran 27 DRYDOCK AVE Boston MA MASSACHUSETTS 02210 Executive Officer Director Jon Karlen 27 DRYDOCK AVE Boston MA MASSACHUSETTS 02210 Director Micah Rosenbloom 27 DRYDOCK AVE Boston MA MASSACHUSETTS 02210 Director Timothy Lu 27 DRYDOCK AVE Boston MA MASSACHUSETTS 02210 Director Guy Broadbent 27 DRYDOCK AVE Boston MA MASSACHUSETTS 02210 Director Michael Koeris 27 DRYDOCK AVE Boston MA MASSACHUSETTS 02210 Executive Officer Other Decline to Disclose 06b false 2013-10-02 false true false 0 10999998 4499999 6499999 false 5 0 0 0 false Sample6, Inc. /s/ Tim Curran Tim Curran President 2013-10-15