0001672182-16-000001.txt : 20160420 0001672182-16-000001.hdr.sgml : 20160420 20160420133202 ACCESSION NUMBER: 0001672182-16-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20160420 DATE AS OF CHANGE: 20160420 EFFECTIVENESS DATE: 20160420 FILER: COMPANY DATA: COMPANY CONFORMED NAME: CollateBox Inc. CENTRAL INDEX KEY: 0001672182 IRS NUMBER: 680682277 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-261710 FILM NUMBER: 161580951 BUSINESS ADDRESS: STREET 1: 1269 WOODLAWN AVENUE CITY: SAN JOSE STATE: CA ZIP: 95128 BUSINESS PHONE: 408-600-1211 MAIL ADDRESS: STREET 1: 1269 WOODLAWN AVENUE CITY: SAN JOSE STATE: CA ZIP: 95128 D 1 primary_doc.xml X0707 D LIVE 0001672182 CollateBox Inc. 1269 WOODLAWN AVENUE SAN JOSE CA CALIFORNIA 95128 408-600-1211 DELAWARE None None Corporation true 2011 Ravindra Krishnappa 1269 Woodlawn Avenue San Jose CA CALIFORNIA 95128 Executive Officer Director Ralph Assis Vaz 1269 Woodlawn Avenue San Jose CA CALIFORNIA 95128 Executive Officer Director Other Technology Decline to Disclose 06b false 2016-04-08 false true false 0 650000 650000 0 Total Offering Amount: $650,000.09; Total Amount Sold: $650,000.09; Total Remaining to be Sold: $0.00. false 1 0 0 0 false CollateBox Inc. /s/ Ravindra Krishnappa Ravindra Krishnappa Chief Executive Officer 2016-04-20