0001231919-20-000005.txt : 20200130 0001231919-20-000005.hdr.sgml : 20200130 20200130140733 ACCESSION NUMBER: 0001231919-20-000005 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20200130 DATE AS OF CHANGE: 20200130 EFFECTIVENESS DATE: 20200130 FILER: COMPANY DATA: COMPANY CONFORMED NAME: PolicyGenius Inc. CENTRAL INDEX KEY: 0001663729 IRS NUMBER: 461553649 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-359345 FILM NUMBER: 20560796 BUSINESS ADDRESS: STREET 1: 22 W. 19TH ST. STREET 2: 8TH FLOOR CITY: NEW YORK STATE: NY ZIP: 10011 BUSINESS PHONE: 855-695-2255 MAIL ADDRESS: STREET 1: 22 W. 19TH ST. STREET 2: 8TH FLOOR CITY: NEW YORK STATE: NY ZIP: 10011 D 1 primary_doc.xml X0708 D LIVE 0001663729 PolicyGenius Inc. 50 W 23rd St Fl 9 NEW YORK NY NEW YORK 10010 855-695-2255 DELAWARE KnowItOwl Inc. None Corporation true Jennifer Fitzgerald c/o PolicyGenius Inc. 50 W 23rd St Fl 9 New York NY NEW YORK 10010 Executive Officer Director Francois de Lame c/o PolicyGenius Inc. 50 W 23rd St Fl 9 New York NY NEW YORK 10010 Director Tianxiang Zhuo c/o PolicyGenius Inc. 50 W 23rd St Fl 9 New York NY NEW YORK 10010 Director David Golden c/o PolicyGenius Inc. 50 W 23rd St Fl 9 New York NY NEW YORK 10010 Director Jay Mandelbaum c/o PolicyGenius Inc. 50 W 23rd St Fl 9 New York NY NEW YORK 10010 Director Parker Barrile c/o PolicyGenius Inc. 50 W 23rd St Fl 9 New York NY NEW YORK 10010 Director Allan Jean-Baptiste c/o PolicyGenius Inc. 50 W 23rd St Fl 9 New York NY NEW YORK 10010 Director Other Decline to Disclose 06b false 2019-12-18 false true false 0 111023248 111023248 0 The Total Offering Amount and Total Amount Sold includes $11,023,333.33 from the conversion of outstanding convertible securities. false 9 0 0 0 false PolicyGenius Inc. /s/ Jennifer Fitzgerald Jennifer Fitzgerald Chief Executive Officer 2020-01-30