0001679065-16-000001.txt : 20160728 0001679065-16-000001.hdr.sgml : 20160728 20160728111702 ACCESSION NUMBER: 0001679065-16-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20160728 DATE AS OF CHANGE: 20160728 EFFECTIVENESS DATE: 20160728 FILER: COMPANY DATA: COMPANY CONFORMED NAME: SHIPT, INC. CENTRAL INDEX KEY: 0001679065 IRS NUMBER: 471112743 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-267877 FILM NUMBER: 161788932 BUSINESS ADDRESS: STREET 1: 17 20TH STREET N STREET 2: SUITE 100 CITY: BIRMINGHAM STATE: AL ZIP: 35203 BUSINESS PHONE: 205-502-2500 MAIL ADDRESS: STREET 1: 17 20TH STREET N STREET 2: SUITE 100 CITY: BIRMINGHAM STATE: AL ZIP: 35203 D 1 primary_doc.xml X0707 D LIVE 0001679065 SHIPT, INC. 17 20TH STREET N SUITE 100 BIRMINGHAM AL ALABAMA 35203 205-502-2500 DELAWARE Shipt, LLC None Corporation true 2014 BILL I. SMITH 17 20TH STREET N SUITE 100 BIRMINGHAM AL ALABAMA 35203 Executive Officer Director ROBERT L. CRUTCHFIELD 17 20TH STREET N SUITE 100 BIRMINGHAM AL ALABAMA 35203 Director WILLIAM E. SAUNDERS 17 20TH STREET N SUITE 100 BIRMINGHAM AL ALABAMA 35203 Director JEFFREY L. SMITH 17 20TH STREET N SUITE 100 BIRMINGHAM AL ALABAMA 35203 Director STEVEN STREIT 17 20TH STREET N SUITE 100 BIRMINGHAM AL ALABAMA 35203 Director Other Technology Decline to Disclose 06b false 2016-06-27 false true false 0 20100000 20100000 0 The total offering amount includes convertible promissory notes. false 8 0 0 0 false SHIPT, INC. /s/Bill I. Smith Bill I. Smith CEO 2016-07-28