0001589194-14-000001.txt : 20141113 0001589194-14-000001.hdr.sgml : 20141113 20141112181725 ACCESSION NUMBER: 0001589194-14-000001 CONFORMED SUBMISSION TYPE: D/A PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20141113 DATE AS OF CHANGE: 20141112 EFFECTIVENESS DATE: 20141113 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/A SEC ACT: 1933 Act SEC FILE NUMBER: 021-204598 FILM NUMBER: 141215638 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/A 1 primary_doc.xml X0707 D/A LIVE 0001589194 Sample6, Inc. 840 Memorial Drive 4th Floor Cambridge MA MASSACHUSETTS 02139 (617) 393-7600 DELAWARE None None Corporation true 2009 Tim Curran 840 Memorial Drive 4th Floor Cambridge MA MASSACHUSETTS 02139 Executive Officer Director Steve Bloch 840 Memorial Drive 4th Floor Cambridge MA MASSACHUSETTS 02139 Director Jeffrey Bussgang 840 Memorial Drive 4th Floor Cambridge MA MASSACHUSETTS 02139 Director Timothy Lu 840 Memorial Drive 4th Floor Cambridge MA MASSACHUSETTS 02139 Director Guy Broadbent 840 Memorial Drive 4th Floor Cambridge MA MASSACHUSETTS 02139 Director Michael Koeris 840 Memorial Drive 4th Floor Cambridge MA MASSACHUSETTS 02139 Executive Officer Other Decline to Disclose 06b true 0001589194-13-000001 2013-10-02 false true false 0 13499998 13499998 0 false 6 0 0 0 false Sample6, Inc. /s/ Tim Curran Tim Curran President & Chief Executive Officer 2014-11-12