0001619765-16-000001.txt : 20160104 0001619765-16-000001.hdr.sgml : 20160101 20160104124528 ACCESSION NUMBER: 0001619765-16-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20160104 DATE AS OF CHANGE: 20160104 EFFECTIVENESS DATE: 20160104 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Agari Data, Inc. CENTRAL INDEX KEY: 0001619765 IRS NUMBER: 270716294 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-254380 FILM NUMBER: 161317147 BUSINESS ADDRESS: STREET 1: 100 S. ELLSWORTH AVENUE STREET 2: 4TH FLOOR CITY: SAN MATEO STATE: CA ZIP: 94401 BUSINESS PHONE: 650-627-7667 MAIL ADDRESS: STREET 1: 100 S. ELLSWORTH AVENUE STREET 2: 4TH FLOOR CITY: SAN MATEO STATE: CA ZIP: 94401 D 1 primary_doc.xml X0707 D LIVE 0001619765 Agari Data, Inc. 100 S. ELLSWORTH AVENUE 4TH FLOOR SAN MATEO CA CALIFORNIA 94401 650-627-7667 DELAWARE Authentication Metrics, Inc. None Corporation true Patrick Peterson c/o Agari Data, Inc. 100 S. Ellsworth Avenue, 4th Floor San Mateo CA CALIFORNIA 94401 Executive Officer Director Scott Johnston c/o Agari Data, Inc. 100 S. Ellsworth Avenue, 4th Floor San Mateo CA CALIFORNIA 94401 Director Ammar Hanafi c/o Agari Data, Inc. 100 S. Ellsworth Avenue, 4th Floor San Mateo CA CALIFORNIA 94401 Director Ariel Tseitlin c/o Agari Data, Inc. 100 S. Ellsworth Avenue, 4th Floor San Mateo CA CALIFORNIA 94401 Director Martin Brauns c/o Agari Data, Inc. 100 S. Ellsworth Avenue, 4th Floor San Mateo CA CALIFORNIA 94401 Director Other Technology Decline to Disclose 06b false 2015-12-23 false true true true Convertible Promissory Notes; Preferred Stock issued upon conversion; Common Stock issued upon conversion. false 0 4000000 2000000 2000000 false 12 0 0 0 false Agari Data, Inc. /s/ Patrick Peterson Patrick Peterson President 2016-01-04