0001140361-14-014559.txt : 20140328 0001140361-14-014559.hdr.sgml : 20140328 20140328143012 ACCESSION NUMBER: 0001140361-14-014559 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20140328 DATE AS OF CHANGE: 20140328 EFFECTIVENESS DATE: 20140328 FILER: COMPANY DATA: COMPANY CONFORMED NAME: BlackPak, Inc. CENTRAL INDEX KEY: 0001602496 IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-214482 FILM NUMBER: 14725018 BUSINESS ADDRESS: STREET 1: 750 BATTERY STREET STREET 2: 7TH FLOOR CITY: SAN FRANCISCO STATE: CA ZIP: 94111 BUSINESS PHONE: (415) 273-6806 MAIL ADDRESS: STREET 1: 750 BATTERY STREET STREET 2: 7TH FLOOR CITY: SAN FRANCISCO STATE: CA ZIP: 94111 D 1 primary_doc.xml X0707 D LIVE 0001602496 BlackPak, Inc. c/o InnerProduct Partners 750 Battery Street, 7th Floor San Francisco CA CALIFORNIA 94111 (415) 273-6806 DELAWARE None None Corporation true 2013 Doug Kirkpartick 750 Battery Street 7th Floor San Francisco CA CALIFORNIA 94111 Executive Officer Director President and Chief Executive Officer Peter Haaland 750 Battery Street 7th Floor San Francisco CA CALIFORNIA 94111 Executive Officer Chief Technology Officer Joshua Silber 750 Battery Street 7th Floor San Francisco CA CALIFORNIA 94111 Executive Officer Director Secretary and Treasurer Manufacturing Decline to Disclose 06b false true false true false 0 2792399 2792399 0 (i) 1,105,263 shares of Common at a price of $0.7125 per share, (ii) 587,719.3 shares of Series A Convertible Preferred Stock, and (iii) 115,753.91 shares of Series A upon conversion of Convertible Promissory Notes, each at a price of $2.85 per share. false 2 0 0 0 false BlackPak, Inc. /s/ Doug Kirkpatrick Doug Kirkpatrick President and Chief Executive Officer and Director 2014-03-28