0001511164-14-000626.txt : 20141106 0001511164-14-000626.hdr.sgml : 20141106 20141106110555 ACCESSION NUMBER: 0001511164-14-000626 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20141106 DATE AS OF CHANGE: 20141106 EFFECTIVENESS DATE: 20141106 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Civergy, Inc. CENTRAL INDEX KEY: 0001623376 IRS NUMBER: 464525103 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-227813 FILM NUMBER: 141199392 BUSINESS ADDRESS: STREET 1: 10333 E DRY CREEK ROAD STREET 2: SUITE 200 CITY: ENGLEWOOD STATE: CO ZIP: 80112 BUSINESS PHONE: 720-504-1040 MAIL ADDRESS: STREET 1: 10333 E DRY CREEK ROAD STREET 2: SUITE 200 CITY: ENGLEWOOD STATE: CO ZIP: 80112 D 1 primary_doc.xml X0707 D LIVE 0001623376 Civergy, Inc. 10333 E DRY CREEK ROAD SUITE 200 ENGLEWOOD CO COLORADO 80112 720-504-1040 DELAWARE None None Corporation true 2013 Mark Gray 10333 E. Dry Creek Rd, Suite 200 Englewood CO COLORADO 80112 Executive Officer Director Chief Executive Officer and Chairman Jennifer Williamson Cockrum 10333 E. Dry Creek Rd, Suite 200 Englewood CO COLORADO 80112 Executive Officer Senior Vice President Daniel Hollenbach 10333 E. Dry Creek Rd, Suite 200 Englewood CO COLORADO 80112 Executive Officer Chief Financial Officer, Chief Accounting Officer and Treasurer Nataliya Burdeynyuk 10333 E. Dry Creek Rd, Suite 200 Englewood CO COLORADO 80112 Executive Officer Secretary Wyly Wade 10333 E. Dry Creek Rd, Suite 200 Englewood CO COLORADO 80112 Director David Carey 10333 E. Dry Creek Rd, Suite 200 Englewood CO COLORADO 80112 Director Andy Westlund 10333 E. Dry Creek Rd, Suite 200 Englewood CO COLORADO 80112 Director Tom Vukota 10333 E. Dry Creek Rd, Suite 200 Englewood CO COLORADO 80112 Director Other Decline to Disclose 06b false 2014-09-30 false true true true convertible debentures and common stock false 0 Chardan Capital Markets LLC 120128 None None 17 State Street, Suite 1600 New York NY NEW YORK 10004 IL ILLINOIS NY NEW YORK NJ NEW JERSEY MI MICHIGAN CA CALIFORNIA PA PENNSYLVANIA false Source Capital Group, Inc. 36719 Vikram Paul Grover 2525942 276 Post Road West Westport CT CONNECTICUT 06880 IL ILLINOIS NY NEW YORK NJ NEW JERSEY MI MICHIGAN CA CALIFORNIA PA PENNSYLVANIA false 2525000 2525000 0 false 9 197000 0 0 false Civergy, Inc. /s/ Daniel Hollenbach Daniel Hollenbach CFO 2014-11-06