0001617408-19-000001.txt : 20190718 0001617408-19-000001.hdr.sgml : 20190718 20190718135231 ACCESSION NUMBER: 0001617408-19-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20190718 DATE AS OF CHANGE: 20190718 EFFECTIVENESS DATE: 20190718 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: 021-344608 FILM NUMBER: 19961077 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 X0708 D LIVE 0001617408 Simple-Fill, Inc. 6293 Busch Blvd. COLUMBUS OH OHIO 43229 614-440-9002 OHIO None None Corporation true Robert D. Underhill 6293 Busch Blvd. Columbus OH OHIO 43229 Executive Officer Director President and Chief Executive Officer. Donald Caudy 6293 Busch Blvd. Columbus OH OHIO 43229 Director Fabio Chiara 6293 Busch Blvd. Columbus OH OHIO 43229 Executive Officer Director Chief Technology Officer. Wayne Embree 6293 Busch Blvd. Columbus OH OHIO 43229 Director Greg Geib 6293 Busch Blvd. Columbus OH OHIO 43229 Director Joe Hayek 6293 Busch Blvd. Columbus OH OHIO 43229 Director Other Technology Decline to Disclose 06b false 2019-07-10 false true true false 5000 950000 394737 555263 false 5 0 0 100000 true Estimated salary amounts. false Simple-Fill, Inc. William J. Kelly William J. Kelly Secretary 2019-07-18