0001663633-19-000001.txt : 20191211 0001663633-19-000001.hdr.sgml : 20191211 20191211153529 ACCESSION NUMBER: 0001663633-19-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20191211 DATE AS OF CHANGE: 20191211 EFFECTIVENESS DATE: 20191211 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Amperity, Inc. CENTRAL INDEX KEY: 0001663633 IRS NUMBER: 810890699 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-355303 FILM NUMBER: 191279796 BUSINESS ADDRESS: STREET 1: 500 YALE AVE N., SUITE 341 CITY: SEATTLE STATE: WA ZIP: 98109 BUSINESS PHONE: (425) 891-5252 MAIL ADDRESS: STREET 1: 500 YALE AVE N., SUITE 341 CITY: SEATTLE STATE: WA ZIP: 98109 D 1 primary_doc.xml X0708 D LIVE 0001663633 Amperity, Inc. 701 5th Avenue, 26th Floor SEATTLE WA WASHINGTON 98104 (206) 432-8302 DELAWARE None None Corporation true 2015 Kabir Shahani c/o Amperity, Inc. 701 5th Avenue, 26th Floor SEATTLE WA WASHINGTON 98104 Executive Officer Director Promoter Derek Slager c/o Amperity, Inc. 701 5th Avenue, 26th Floor SEATTLE WA WASHINGTON 98104 Executive Officer Director Promoter Matt McIlwain c/o Amperity, Inc. 701 5th Avenue, 26th Floor SEATTLE WA WASHINGTON 98104 Director Rajeev Singh c/o Amperity, Inc. 701 5th Avenue, 26th Floor SEATTLE WA WASHINGTON 98104 Director Kelly Wright c/o Amperity, Inc. 701 5th Avenue, 26th Floor SEATTLE WA WASHINGTON 98104 Director Amy Pelly c/o Amperity, Inc. 701 5th Avenue, 26th Floor SEATTLE WA WASHINGTON 98104 Executive Officer Other Technology Decline to Disclose 06b false 2019-11-27 false true true 0 26795424 26795424 0 false 26 0 0 0 false Amperity, Inc. /s/Kabir Shahani Kabir Shahani Chief Executive Officer 2019-12-11