0001567619-20-005608.txt : 20200304 0001567619-20-005608.hdr.sgml : 20200304 20200304170157 ACCESSION NUMBER: 0001567619-20-005608 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20200304 DATE AS OF CHANGE: 20200304 EFFECTIVENESS DATE: 20200304 FILER: COMPANY DATA: COMPANY CONFORMED NAME: INSURIFY, INC. CENTRAL INDEX KEY: 0001632969 IRS NUMBER: 462732148 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-361978 FILM NUMBER: 20688100 BUSINESS ADDRESS: STREET 1: 222 THIRD STREET STREET 2: SUITE 1320 CITY: CAMBRIDGE STATE: MA ZIP: 02142 BUSINESS PHONE: 866-373-0443 MAIL ADDRESS: STREET 1: 222 THIRD STREET STREET 2: SUITE 1320 CITY: CAMBRIDGE STATE: MA ZIP: 02142 FORMER COMPANY: FORMER CONFORMED NAME: Ensurify, Inc. DATE OF NAME CHANGE: 20150205 D 1 primary_doc.xml X0708 D LIVE 0001632969 INSURIFY, INC. 222 THIRD STREET SUITE 1320 CAMBRIDGE MA MASSACHUSETTS 02142 866-373-0443 DELAWARE None Ensurify, Inc. Corporation true Snezhina Zacharia c/o Insurify, Inc. 222 Third St, Suite 1320 Cambridge MA MASSACHUSETTS 02142 Executive Officer Director Ms. Zacharia is the President, Chief Executive Officer and Secretary of the Issuer. Giorgos Zacharia c/o Insurify, Inc. 222 Third St, Suite 1320 Cambridge MA MASSACHUSETTS 02142 Director Daniel Tsiddon c/o Insurify, Inc. 222 Third St, Suite 1320 Cambridge MA MASSACHUSETTS 02142 Director Kevin McLoughlin c/o Insurify, Inc. 222 Third St, Suite 1320 Cambridge MA MASSACHUSETTS 02142 Director Other Technology Decline to Disclose 06b false 2019-11-19 false true true Series A Preferred Stock and Series A-1 Preferred Stock false 0 24552981 23032988 1519993 false 23 0 0 0 false INSURIFY, INC. /s/ Snezhina Zacharia Snezhina Zacharia President & Chief Executive Officer of the Issuer 2020-03-04