0001711450-17-000002.txt : 20171130 0001711450-17-000002.hdr.sgml : 20171130 20171129194705 ACCESSION NUMBER: 0001711450-17-000002 CONFORMED SUBMISSION TYPE: D/A PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20171130 DATE AS OF CHANGE: 20171129 EFFECTIVENESS DATE: 20171130 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Energetic Insurance, Inc. CENTRAL INDEX KEY: 0001711450 IRS NUMBER: 814545771 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D/A SEC ACT: 1933 Act SEC FILE NUMBER: 021-291762 FILM NUMBER: 171229700 BUSINESS ADDRESS: STREET 1: 695 ATLANTIC AVE. STREET 2: 9TH FLOOR CITY: BOSTON STATE: MA ZIP: 02111 BUSINESS PHONE: 617-416-2923 MAIL ADDRESS: STREET 1: 695 ATLANTIC AVE. STREET 2: 9TH FLOOR CITY: BOSTON STATE: MA ZIP: 02111 D/A 1 primary_doc.xml X0708 D/A LIVE 0001711450 Energetic Insurance, Inc. 695 ATLANTIC AVE. 9TH FLOOR BOSTON MA MASSACHUSETTS 02111 617-416-2923 DELAWARE None None Corporation true 2016 James Bowen 695 ATLANTIC AVE. 9TH FLOOR BOSTON MA MASSACHUSETTS 02111 Executive Officer Director Promoter Jeffrey McAulay 695 ATLANTIC AVE. 9TH FLOOR BOSTON MA MASSACHUSETTS 02111 Executive Officer Director Promoter Other Banking and Financial Services Decline to Disclose 06b true 0001711450-17-000001 2017-07-14 false true true false 0 750000 630000 120000 false 14 0 0 0 false Energetic Insurance, Inc. /s/ James Bowen James Bowen Secretary 2017-11-28