0001684397-16-000001.txt : 20161104 0001684397-16-000001.hdr.sgml : 20161104 20161104165109 ACCESSION NUMBER: 0001684397-16-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20161104 DATE AS OF CHANGE: 20161104 EFFECTIVENESS DATE: 20161104 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Poly6 Technologies, Inc. CENTRAL INDEX KEY: 0001684397 IRS NUMBER: 999999999 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-273876 FILM NUMBER: 161975782 BUSINESS ADDRESS: STREET 1: 8 ST. MARY'S STREET CITY: BOSTON STATE: MA ZIP: 02215 BUSINESS PHONE: 617-575-9291 MAIL ADDRESS: STREET 1: 8 ST. MARY'S STREET CITY: BOSTON STATE: MA ZIP: 02215 D 1 primary_doc.xml X0707 D LIVE 0001684397 Poly6 Technologies, Inc. 8 ST. MARY'S STREET BOSTON MA MASSACHUSETTS 02215 515-291-2206 DELAWARE None None Corporation true 2015 Michael Keith Hearon II 8 Saint Mary's Street c/o Poly6 Technologies, Inc. Boston MA MASSACHUSETTS 02215 Executive Officer Director Matthew Stellmaker 8 Saint Mary's Street c/o Poly6 Technologies, Inc. Boston MA MASSACHUSETTS 02215 Executive Officer Director Other Decline to Disclose 06b false 2016-09-09 false true S.A.F.E (Simple Agreement for Future Equity) false 0 500000 300000 200000 false 5 0 0 0 false Poly6 Technologies, Inc. /s/ Matthew Stellmaker Matthew Stellmaker Chief Operating Officer & Co-Founder 2016-11-04