0001209191-15-079618.txt : 20151112 0001209191-15-079618.hdr.sgml : 20151111 20151112144521 ACCESSION NUMBER: 0001209191-15-079618 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20151112 DATE AS OF CHANGE: 20151112 EFFECTIVENESS DATE: 20151112 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Submittable Holdings, Inc. CENTRAL INDEX KEY: 0001657776 IRS NUMBER: 475485414 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-251122 FILM NUMBER: 151223666 BUSINESS ADDRESS: STREET 1: 111 NORTH HIGGINS AVENUE STREET 2: 3RD FLOOR CITY: MISSOULA STATE: MT ZIP: 59807 BUSINESS PHONE: 855-467-8264 MAIL ADDRESS: STREET 1: 111 NORTH HIGGINS AVENUE STREET 2: 3RD FLOOR CITY: MISSOULA STATE: MT ZIP: 59807 D 1 primary_doc.xml X0707 D LIVE 0001657776 Submittable Holdings, Inc. 111 North Higgins Avenue, 3rd Floor Missoula MT MONTANA 59802 855-467-8264 DELAWARE None None Corporation true 2015 Michael FitzGerald 111 North Higgins Avenue, 3rd Floor Missoula MT MONTANA 59802 Executive Officer Director Promoter Bruce Tribbensee 111 North Higgins Avenue, 3rd Floor Missoula MT MONTANA 59802 Executive Officer Director Promoter John Brownell 111 North Higgins Avenue, 3rd Floor Missoula MT MONTANA 59802 Executive Officer Director Promoter Other Technology Decline to Disclose 06b false 2015-11-05 false true true Common Stock and Series AA Preferred Stock issued in connection with acquisition. true 0 10350000 10350000 0 Reflects value of shares exchanged false 35 0 0 0 true Submittable Holdings, Inc. /s/ Bruce Tribbensee Bruce Tribbensee Treasurer 2015-11-12