0001619133-14-000001.txt : 20140912 0001619133-14-000001.hdr.sgml : 20140912 20140912155808 ACCESSION NUMBER: 0001619133-14-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20140912 DATE AS OF CHANGE: 20140912 EFFECTIVENESS DATE: 20140912 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Formation Data Systems, Inc. CENTRAL INDEX KEY: 0001619133 IRS NUMBER: 461087596 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-224656 FILM NUMBER: 141100856 BUSINESS ADDRESS: STREET 1: 39141 CIVIC CENTER BLVD., SUITE 410 CITY: FREMONT STATE: CA ZIP: 94538-5818 BUSINESS PHONE: 415-361-7710 MAIL ADDRESS: STREET 1: 39141 CIVIC CENTER BLVD., SUITE 410 CITY: FREMONT STATE: CA ZIP: 94538-5818 D 1 primary_doc.xml X0707 D LIVE 0001619133 Formation Data Systems, Inc. 39141 CIVIC CENTER BLVD., SUITE 410 FREMONT CA CALIFORNIA 94538-5818 415-361-7710 DELAWARE None None Corporation true 2012 Mark Lewis c/o Formation Data Systems, Inc. 39141 Civic Center Blvd., Suite 410 Fremont CA CALIFORNIA 94538 Executive Officer Director Andrew Jenks c/o Formation Data Systems, Inc. 39141 Civic Center Blvd., Suite 410 Fremont CA CALIFORNIA 94538 Executive Officer Director Robert Schwartz c/o Formation Data Systems, Inc. 39141 Civic Center Blvd., Suite 410 Fremont CA CALIFORNIA 94538 Director Anthony Bettencourt c/o Formation Data Systems, Inc. 39141 Civic Center Blvd., Suite 410 Fremont CA CALIFORNIA 94538 Director Carl Ledbetter c/o Formation Data Systems, Inc. 39141 Civic Center Blvd., Suite 410 Fremont CA CALIFORNIA 94538 Director Other Technology Decline to Disclose 06b false 2014-01-31 false true false 0 15000000 15000000 0 false 41 0 0 0 false Formation Data Systems, Inc. /s/ Andrew Jenks Andrew Jenks Chief Financial Officer 2014-09-11