0001703664-17-000001.txt : 20170413 0001703664-17-000001.hdr.sgml : 20170413 20170413143355 ACCESSION NUMBER: 0001703664-17-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20170413 DATE AS OF CHANGE: 20170413 EFFECTIVENESS DATE: 20170413 FILER: COMPANY DATA: COMPANY CONFORMED NAME: BenRevo, Inc. CENTRAL INDEX KEY: 0001703664 IRS NUMBER: 474332322 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-284765 FILM NUMBER: 17760323 BUSINESS ADDRESS: STREET 1: 800 THE MARK LANE, UNIT 704 CITY: SAN DIEGO STATE: CA ZIP: 92101 BUSINESS PHONE: 858-444-7775 MAIL ADDRESS: STREET 1: 800 THE MARK LANE, UNIT 704 CITY: SAN DIEGO STATE: CA ZIP: 92101 D 1 primary_doc.xml X0707 D LIVE 0001703664 BenRevo, Inc. 800 THE MARK LANE, UNIT 704 SAN DIEGO CA CALIFORNIA 92101 858-444-7775 DELAWARE None None Corporation true 2015 Jimson Tharayil c/o BenRevo, Inc. 800 The Mark Lane, Unit 704 San Diego CA CALIFORNIA 92101 Executive Officer Director Jason Char c/o BenRevo, Inc. 800 The Mark Lane, Unit 704 San Diego CA CALIFORNIA 92101 Executive Officer Director Ojas Sitapara c/o BenRevo, Inc. 800 The Mark Lane, Unit 704 San Diego CA CALIFORNIA 92101 Executive Officer Director Other Technology Decline to Disclose 06b false 2017-02-28 false true true Consists of security instruments convertible into shares of Preferred Stock or Common Stock of the Issuer. false 0 150000 150000 0 false 2 0 0 0 false BenRevo, Inc. /s/ Jimson Tharayil Jimson Tharayil President and CEO 2017-04-12