0001594331-13-000001.txt : 20131218 0001594331-13-000001.hdr.sgml : 20131218 20131218164327 ACCESSION NUMBER: 0001594331-13-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20131218 DATE AS OF CHANGE: 20131218 EFFECTIVENESS DATE: 20131218 FILER: COMPANY DATA: COMPANY CONFORMED NAME: InSample, Inc. CENTRAL INDEX KEY: 0001594331 IRS NUMBER: 462513001 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-208257 FILM NUMBER: 131285676 BUSINESS ADDRESS: STREET 1: 21 HILLWOOD PLACE CITY: OAKLAND STATE: CA ZIP: 94610 BUSINESS PHONE: 6507048903 MAIL ADDRESS: STREET 1: 21 HILLWOOD PLACE CITY: OAKLAND STATE: CA ZIP: 94610 D 1 primary_doc.xml X0707 D LIVE 0001594331 InSample, Inc. 21 HILLWOOD PLACE OAKLAND CA CALIFORNIA 94610 6507048903 DELAWARE None None Corporation true 2013 Ian Blumenfeld 21 HILLWOOD PLACE Oakland CA CALIFORNIA 94610 Executive Officer Director Amory Schlender 21 HILLWOOD PLACE Oakland CA CALIFORNIA 94610 Executive Officer Director Computers $1 - $1,000,000 06b false 2013-12-04 false true true true false 5000 300000 50000 250000 false 1 0 0 60000 true false InSample, Inc. Ian Blumenfeld Ian Blumenfeld Chief Executive Officer 2013-12-18