0001604718-17-000002.txt : 20170602 0001604718-17-000002.hdr.sgml : 20170602 20170602141124 ACCESSION NUMBER: 0001604718-17-000002 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20170602 DATE AS OF CHANGE: 20170602 EFFECTIVENESS DATE: 20170602 FILER: COMPANY DATA: COMPANY CONFORMED NAME: BENEFIT MOBILE INC CENTRAL INDEX KEY: 0001604718 IRS NUMBER: 461738830 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-287968 FILM NUMBER: 17887308 BUSINESS ADDRESS: STREET 1: 222 W. MERCHANDISE MART PLAZA STREET 2: FLOOR 12, SUITE 1212 CITY: CHICAGO STATE: IL ZIP: 60654 BUSINESS PHONE: 847-722-4949 MAIL ADDRESS: STREET 1: 222 W. MERCHANDISE MART PLAZA STREET 2: FLOOR 12, SUITE 1212 CITY: CHICAGO STATE: IL ZIP: 60654 D 1 primary_doc.xml X0707 D LIVE 0001604718 BENEFIT MOBILE INC 222 W. MERCHANDISE MART PLAZA FLOOR 12, SUITE 1212 CHICAGO IL ILLINOIS 60654 847-722-4949 DELAWARE None None Corporation true 2013 DOUGLAS J. ASAD 1079 ELM STREET WINNETKA IL ILLINOIS 60093 Executive Officer Director DIRECTOR AND CHIEF EXECUTIVE OFFICER DERIK LOLLI 1030 AUTUMN RIDGE NE FLOOR 12, SUITE 1212 ADA MI MICHIGAN 49301 Executive Officer Director CHIEF GROWTH OFFICER AND DIRECTOR MIKE DEVRIES 40 PEARL STREET NW #200 GRAND RAPIDS MI MICHIGAN 49503 Director BASTIAN KNOPPERS 53 BAYBROOK LANE OAK BROOK IL ILLINOIS 60523 Director Other Technology Decline to Disclose 06b false 2017-05-19 false true false 0 2500000 1500000 1000000 false 9 0 0 0 false BENEFIT MOBILE INC DOUGLAS ASAD /s/ DOUGLAS ASAD CHIEF EXECUTIVE OFFICER 2017-06-02