0001461859-17-000016.txt : 20170530 0001461859-17-000016.hdr.sgml : 20170530 20170530163352 ACCESSION NUMBER: 0001461859-17-000016 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20170530 DATE AS OF CHANGE: 20170530 EFFECTIVENESS DATE: 20170530 FILER: COMPANY DATA: COMPANY CONFORMED NAME: COLLECTIVE INNOVATION, INC. CENTRAL INDEX KEY: 0001671510 IRS NUMBER: 811949929 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-287684 FILM NUMBER: 17877820 BUSINESS ADDRESS: STREET 1: 5019 SW 43RD AVENUE STREET 2: SUITE B CITY: PORTLAND STATE: OR ZIP: 97221 BUSINESS PHONE: 650-270-4019 MAIL ADDRESS: STREET 1: 5019 SW 43RD AVENUE STREET 2: SUITE B CITY: PORTLAND STATE: OR ZIP: 97221 D 1 primary_doc.xml X0707 D LIVE 0001671510 COLLECTIVE INNOVATION, INC. 5019 SW 43RD AVENUE SUITE B PORTLAND OR OREGON 97221 650-270-4019 DELAWARE None None Corporation true 2016 Scott Olson 5019 SW 43rd Avenue Suite B Portland OR OREGON 97221 Executive Officer Director Other Decline to Disclose 06b false 2017-05-15 false true false 0 125000 125000 0 false 1 0 0 0 false COLLECTIVE INNOVATION, INC. /s/Scott Olson Scott Olson CEO 2017-05-30