0001617408-14-000001.txt : 20140822 0001617408-14-000001.hdr.sgml : 20140822 20140822141603 ACCESSION NUMBER: 0001617408-14-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20140822 DATE AS OF CHANGE: 20140822 EFFECTIVENESS DATE: 20140822 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Simple-Fill, Inc. CENTRAL INDEX KEY: 0001617408 IRS NUMBER: 462147362 STATE OF INCORPORATION: OH FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-223483 FILM NUMBER: 141059905 BUSINESS ADDRESS: STREET 1: 1275 KINNEAR RD. CITY: COLUMBUS STATE: OH ZIP: 43212 BUSINESS PHONE: 614-440-9002 MAIL ADDRESS: STREET 1: 1275 KINNEAR RD. CITY: COLUMBUS STATE: OH ZIP: 43212 D 1 primary_doc.xml X0707 D LIVE 0001617408 Simple-Fill, Inc. 1275 KINNEAR RD. COLUMBUS OH OHIO 43212 614-440-9002 OHIO None None Corporation true 2013 Rob Underhill 1275 Kinnear Columbus OH OHIO 43212 Executive Officer Director Donald Caudy 1275 Kinnear Columbus OH OHIO 43212 Executive Officer Director Other Technology Decline to Disclose 06b false 2014-08-11 false true Debt - convertible note false 10000 250000 170000 80000 false 3 0 0 0 false Simple-Fill, Inc. /s/ Rob Underhill Rob Underhill President & Treas 2014-08-21