0001567619-21-016532.txt : 20210901 0001567619-21-016532.hdr.sgml : 20210901 20210901120727 ACCESSION NUMBER: 0001567619-21-016532 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20210901 DATE AS OF CHANGE: 20210901 EFFECTIVENESS DATE: 20210901 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: 021-411953 FILM NUMBER: 211229293 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 James O'Neill c/o Insurify, Inc. 222 Third St, Suite 1320 Cambridge MA MASSACHUSETTS 02142 Director Todor Kiryazov c/o Insurify, Inc. 222 Third St., Suite 1320 Cambridge MA MASSACHUSETTS 02142 Executive Officer Mr. Kiryazov is the Chief Product Officer of the Issuer. Gene Shkolnik c/o Insurify, Inc. 222 Third St., Suite 1320 Cambridge MA MASSACHUSETTS 02142 Executive Officer Mr. Shkolnik is the Chief Technology Officer of the Issuer. Chang Jo c/o Insurify, Inc. 222 Third St., Suite 1320 Cambridge MA MASSACHUSETTS 02142 Executive Officer Mr. Jo is the Senior Vice President of Finance and Operations of the Issuer. Other Technology Decline to Disclose 06b false 2021-08-09 false true true Series B Preferred Stock false 0 99999979 99999979 0 false 9 0 0 0 false INSURIFY, INC. /s/ Snezhina Zacharia Snezhina Zacharia Chief Executive Officer of the Issuer 2021-08-31