0001617408-15-000001.txt : 20151113 0001617408-15-000001.hdr.sgml : 20151113 20151113130944 ACCESSION NUMBER: 0001617408-15-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20151113 DATE AS OF CHANGE: 20151113 EFFECTIVENESS DATE: 20151113 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: 021-251201 FILM NUMBER: 151228173 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 Robert D. Underhill 1275 Kinnear Road Columbus OH OHIO 43212 Executive Officer Director Donald Caudy 1275 Kinnear Road Columbus OH OHIO 43212 Director Andrew Billman 1275 Kinnear Road Columbus OH OHIO 43212 Director Fabio Chiara 1275 Kinnear Road Columbus OH OHIO 43212 Executive Officer Director Wayne Embree 1275 Kinnear Road Columbus OH OHIO 43212 Director Other Technology $1 - $1,000,000 06b false 2015-10-30 false true false 50000 2425779 1655806 769973 Includes $925,747 in principal and interest on notes converted into shares in the offering false 14 0 0 100000 true Salaries and benefits false Simple-Fill, Inc. William J. Kelly William J. Kelly Secretary 2015-11-12