0001684423-18-000001.txt : 20181218 0001684423-18-000001.hdr.sgml : 20181218 20181218154447 ACCESSION NUMBER: 0001684423-18-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20181218 DATE AS OF CHANGE: 20181218 EFFECTIVENESS DATE: 20181218 FILER: COMPANY DATA: COMPANY CONFORMED NAME: PUSH PAY, INC. CENTRAL INDEX KEY: 0001684423 IRS NUMBER: 812829850 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-328309 FILM NUMBER: 181240441 BUSINESS ADDRESS: STREET 1: 305 S ANDREWS AVENUE #204 CITY: FT. LAUDERDALE STATE: FL ZIP: 33301 BUSINESS PHONE: 888-382-8893 MAIL ADDRESS: STREET 1: 305 S ANDREWS AVENUE #204 CITY: FT. LAUDERDALE STATE: FL ZIP: 33301 D 1 primary_doc.xml X0708 D LIVE 0001684423 PUSH PAY, INC. 333 Las Olas Way, Cu1 FT. LAUDERDALE FL FLORIDA 33301 844-604-8075 DELAWARE None None Corporation true 2016 Travis Dulaney Push Pay, Inc. d/b/a Push Payments 333 Las Olas Way, Cu1 Fort Lauderdale FL FLORIDA 33301 Executive Officer Director Robert Chevlin Push Pay, Inc. d/b/a Push Payments 333 Las Olas Way, Cu1 Fort Lauderdale FL FLORIDA 33301 Director Wllliam Graylin Push Pay, Inc. d/b/a Push Payments 333 Las Olas Way, Cu1 Fort Lauderdale FL FLORIDA 33301 Director Other Banking and Financial Services Decline to Disclose 06b false 2018-12-03 false true true true false 0 1807032 1807032 0 Sale of Common Stock. false 1 0 0 0 false PUSH PAY, INC. /s/ Travis Dulaney Travis Dulaney President 2018-12-18