0001674892-16-000002.txt : 20160524 0001674892-16-000002.hdr.sgml : 20160524 20160524114444 ACCESSION NUMBER: 0001674892-16-000002 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20160524 DATE AS OF CHANGE: 20160524 EFFECTIVENESS DATE: 20160524 FILER: COMPANY DATA: COMPANY CONFORMED NAME: PatchSimple, Inc. CENTRAL INDEX KEY: 0001674892 IRS NUMBER: 473845439 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-263725 FILM NUMBER: 161671144 BUSINESS ADDRESS: STREET 1: 2040 14TH STREET STREET 2: SUITE 200 CITY: BOULDER STATE: CO ZIP: 80302 BUSINESS PHONE: 720-306-1939 MAIL ADDRESS: STREET 1: 2040 14TH STREET STREET 2: SUITE 200 CITY: BOULDER STATE: CO ZIP: 80302 D 1 primary_doc.xml X0707 D LIVE 0001674892 PatchSimple, Inc. 2040 14TH STREET SUITE 200 BOULDER CO COLORADO 80302 720-306-1939 DELAWARE None None Corporation true 2015 Rajat Bhargava 2040 14th Street Suite 200 Boulder CO COLORADO 80302 Executive Officer Director John Prassl 2040 14th Street Suite 200 Boulder CO COLORADO 80302 Executive Officer Director Larry Middle 2040 14th Street Suite 200 Boulder CO COLORADO 80302 Executive Officer Sanjiv Bhargava 2040 14th Street Suite 200 Boulder CO COLORADO 80302 Promoter Mark Manes 2040 14th Street Suite 200 Boulder CO COLORADO 80302 Promoter Other Technology Decline to Disclose 06b false 2016-05-11 false true false 0 345880 345880 0 Includes the conversion of outstanding convertible promissory notes. false 5 0 0 0 false PatchSimple, Inc. Larry Middle Larry Middle Chief Financial Officer 2016-05-23