0001709240-17-000005.txt : 20171220 0001709240-17-000005.hdr.sgml : 20171220 20171219175528 ACCESSION NUMBER: 0001709240-17-000005 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20171220 DATE AS OF CHANGE: 20171219 EFFECTIVENESS DATE: 20171220 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Societal Innovation Holdings, Inc. CENTRAL INDEX KEY: 0001709240 IRS NUMBER: 814125515 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-301205 FILM NUMBER: 171265138 BUSINESS ADDRESS: STREET 1: 295 INTERLOCKEN BLVD., SUITE 500 CITY: BROOMFIELD STATE: CO ZIP: 80021 BUSINESS PHONE: 303-847-0839 MAIL ADDRESS: STREET 1: 295 INTERLOCKEN BLVD., SUITE 500 CITY: BROOMFIELD STATE: CO ZIP: 80021 FORMER COMPANY: FORMER CONFORMED NAME: Social Innovation Holdings, Inc. DATE OF NAME CHANGE: 20170613 D 1 primary_doc.xml X0708 D LIVE 0001709240 Societal Innovation Holdings, Inc. 295 INTERLOCKEN BLVD., SUITE 500 BROOMFIELD CO COLORADO 80021 303-847-0839 DELAWARE Social Innovation Holdings, Inc. Corporation true 2016 Douglas Standley c/o SOCIETAL INNOVATIONS HOLDINGS, INC. 295 INTERLOCKEN BLVD., SUITE 500 BROOMFIELD CO COLORADO 80021 Executive Officer Director Promoter Graven Prest c/o SOCIETAL INNOVATIONS HOLDINGS, INC. 295 INTERLOCKEN BLVD., SUITE 500 BROOMFIELD CO COLORADO 80021 Executive Officer Promoter Peter Hathaway c/o SOCIETAL INNOVATIONS HOLDINGS, INC. 295 INTERLOCKEN BLVD., SUITE 500 BROOMFIELD CO COLORADO 80021 Director Other Decline to Disclose 06b false 2017-12-12 false true Convertible Promissory Notes and the equity securities issuable upon conversion of such Notes false 0 1500000 200000 1300000 false 1 0 0 0 false Societal Innovation Holdings, Inc. /s/ Douglas A. Standley Douglas A. Standley President 2017-12-19