0001679065-17-000004.txt : 20170608 0001679065-17-000004.hdr.sgml : 20170608 20170608155747 ACCESSION NUMBER: 0001679065-17-000004 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20170608 DATE AS OF CHANGE: 20170608 EFFECTIVENESS DATE: 20170608 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: 021-288347 FILM NUMBER: 17900211 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 Ian Sigalow 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 Bill I. Smith 17 20th Street N, Suite 100 Birmingham AL ALABAMA 35203 Executive Officer Other Technology Decline to Disclose 06b false 2017-06-01 false true true true false 1 39999989 31904828 8095161 false 16 0 0 1913183 A portion of the proceeds were used to repay a short-term loan advanced by a related party. false SHIPT, INC. /s/ Noreen Bergin Noreen Bergin CFO 2017-06-08