0001614233-14-000002.txt : 20141119 0001614233-14-000002.hdr.sgml : 20141119 20141119162700 ACCESSION NUMBER: 0001614233-14-000002 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: Rule 504(b)(1) (not (i), (ii) or (iii)) ITEM INFORMATION: Rule 505 ITEM INFORMATION: 06b ITEM INFORMATION: 4a5 FILED AS OF DATE: 20141119 DATE AS OF CHANGE: 20141119 EFFECTIVENESS DATE: 20141119 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Airsign, Inc. CENTRAL INDEX KEY: 0001614233 IRS NUMBER: 262858040 STATE OF INCORPORATION: FL FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-228678 FILM NUMBER: 141235826 BUSINESS ADDRESS: STREET 1: 12 NW 5TH PLACE CITY: WILLISTON STATE: FL ZIP: 32696 BUSINESS PHONE: 352-529-0843 MAIL ADDRESS: STREET 1: 12 NW 5TH PLACE CITY: WILLISTON STATE: FL ZIP: 32696 D 1 primary_doc.xml X0707 D LIVE 0001614233 Airsign, Inc. 12 NW 5TH PLACE WILLISTON FL FLORIDA 32696 352-529-0843 FLORIDA None None Corporation true Patrick Walsh 2451 NE 114th Ave. Bronson FL FLORIDA 32621 Executive Officer Director Chief Executive Officer; Director Richard Fetter 410 Buckingham Dr. Indianapolis IN INDIANA 46204 Director Director Jared Schramm 9 Via Amanti Newport Coast CA CALIFORNIA 92657 Director Director Brian Modiano 14536 Whisper Wind Dr. Carmel IN INDIANA 46032 Executive Officer Officer, CFO Other Decline to Disclose 04 05 06b 4a5 false true false true false 75000 800000 0 800000 false 0 0 0 0 true false Airsign, Inc. /s/Kevin J. Grande/ Kevin J. Grande Attorney 2014-11-19