0001625988-17-000001.txt : 20170118
0001625988-17-000001.hdr.sgml : 20170118
20170118164422
ACCESSION NUMBER: 0001625988-17-000001
CONFORMED SUBMISSION TYPE: D
PUBLIC DOCUMENT COUNT: 1
ITEM INFORMATION: 06b
FILED AS OF DATE: 20170118
DATE AS OF CHANGE: 20170118
EFFECTIVENESS DATE: 20170118
FILER:
COMPANY DATA:
COMPANY CONFORMED NAME: Qualtrax, Inc.
CENTRAL INDEX KEY: 0001694185
IRS NUMBER: 541935742
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: D
SEC ACT: 1933 Act
SEC FILE NUMBER: 021-278714
FILM NUMBER: 17533880
BUSINESS ADDRESS:
STREET 1: 105 E ROANOKE STREET
CITY: BLACKSBURG
STATE: VA
ZIP: 24060
BUSINESS PHONE: 540-260-9961
MAIL ADDRESS:
STREET 1: 105 E ROANOKE STREET
CITY: BLACKSBURG
STATE: VA
ZIP: 24060
D
1
primary_doc.xml
X0707
D
LIVE
0001694185
Qualtrax, Inc.
105 E ROANOKE STREET
BLACKSBURG
VA
VIRGINIA
24060
540-260-9961
DELAWARE
Qualtrax Incorporated
None
Corporation
true
Amy
Ankrum
105 E. Roanok Street
Blacksburg
VA
VIRGINIA
24060
Executive Officer
Director
Timothy
Lawson
2285 Prospect Drive
Christiansburg
VA
VIRGINIA
24073
Executive Officer
Director
Martin
Muscatello
2285 Prospect Drive
Christiansburg
VA
VIRGINIA
24073
Executive Officer
Director
Jonathan
Hagmaier
2965 Colonnade Drive
Roanoke
VA
VIRGINIA
24018
Director
My Le
Nguyen
388 Market Street, Ste. 1300
San Francisco
CA
CALIFORNIA
94111
Director
Other Technology
Decline to Disclose
- 06b
false
2017-01-11
true
true
false
499986
2999917
999972
1999945
false
2
0
0
0
false
Qualtrax, Inc.
/Amy Ankrum/
Amy Ankrum
President
2017-01-18