0001679065-17-000003.txt : 20170526 0001679065-17-000003.hdr.sgml : 20170526 20170526162817 ACCESSION NUMBER: 0001679065-17-000003 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20170526 DATE AS OF CHANGE: 20170526 EFFECTIVENESS DATE: 20170526 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: 021-287606 FILM NUMBER: 17874335 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 None None Corporation true 2016 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 Noreen Bergin 217 2nd Street San Francisco CA CALIFORNIA 94105 Executive Officer Other Technology Decline to Disclose 06b false 2017-04-20 false true true false 0 150810 150810 0 false 0 0 0 0 false SHIPT, INC. /s/ Noreen Bergin Noreen Bergin CFO 2017-05-25