0001619765-16-000003.txt : 20161003 0001619765-16-000003.hdr.sgml : 20161003 20161003115008 ACCESSION NUMBER: 0001619765-16-000003 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20161003 DATE AS OF CHANGE: 20161003 EFFECTIVENESS DATE: 20161003 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: 021-271686 FILM NUMBER: 161915027 BUSINESS ADDRESS: STREET 1: 100 S. ELLSWORTH AVENUE STREET 2: 9TH FLOOR CITY: SAN MATEO STATE: CA ZIP: 94401 BUSINESS PHONE: 650-627-7667 MAIL ADDRESS: STREET 1: 100 S. ELLSWORTH AVENUE STREET 2: 9TH FLOOR CITY: SAN MATEO STATE: CA ZIP: 94401 D 1 primary_doc.xml X0707 D LIVE 0001619765 Agari Data, Inc. 100 S. ELLSWORTH AVENUE 9TH 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, 9th Floor San Mateo CA CALIFORNIA 94401 Executive Officer Director Scott Johnston c/o Agari Data, Inc. 100 S. Ellsworth Avenue, 9th Floor San Mateo CA CALIFORNIA 94401 Director Ammar Hanafi c/o Agari Data, Inc. 100 S. Ellsworth Avenue, 9th Floor San Mateo CA CALIFORNIA 94401 Director Ariel Tseitlin c/o Agari Data, Inc. 100 S. Ellsworth Avenue, 9th Floor San Mateo CA CALIFORNIA 94401 Director Martin Brauns c/o Agari Data, Inc. 100 S. Ellsworth Avenue, 9th Floor San Mateo CA CALIFORNIA 94401 Director Rama Sekhar c/o Agari Data, Inc. 100 S. Ellsworth Avenue, 9th Floor San Mateo CA CALIFORNIA 94401 Director Ravi Khatod c/o Agari Data, Inc. 100 S. Ellsworth Avenue, 9th Floor San Mateo CA CALIFORNIA 94401 Executive Officer Other Technology Decline to Disclose 06b false 2016-05-05 false true false 0 25000000 20163745 4836255 false 13 0 0 166550 Repayment of Indebtedness false Agari Data, Inc. /s/ Ravi Khatod Ravi Khatod Chief Executive Officer 2016-10-03