0001711450-19-000002.txt : 20190408 0001711450-19-000002.hdr.sgml : 20190408 20190408103405 ACCESSION NUMBER: 0001711450-19-000002 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20190408 DATE AS OF CHANGE: 20190408 EFFECTIVENESS DATE: 20190408 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 SEC ACT: 1933 Act SEC FILE NUMBER: 021-336663 FILM NUMBER: 19736721 BUSINESS ADDRESS: STREET 1: 2 AVENUE DE LAFAYETTE STREET 2: FLOOR 4 CITY: BOSTON STATE: MA ZIP: 02111 BUSINESS PHONE: 617-416-2923 MAIL ADDRESS: STREET 1: 2 AVENUE DE LAFAYETTE STREET 2: FLOOR 4 CITY: BOSTON STATE: MA ZIP: 02111 D 1 primary_doc.xml X0708 D LIVE 0001711450 Energetic Insurance, Inc. 2 AVENUE DE LAFAYETTE FLOOR 4 BOSTON MA MASSACHUSETTS 02111 617-416-2923 DELAWARE None None Corporation true 2016 James Bowen c/o Energetic Insurance, Inc. 2 Avenue de Lafayette, Floor 4 Boston MA MASSACHUSETTS 02111 Executive Officer Director Promoter Jeffrey McAulay c/o Energetic Insurance, Inc. 2 Avenue de Lafayette, Floor 4 Boston MA MASSACHUSETTS 02111 Executive Officer Director Promoter Joshua Posamentier c/o Energetic Insurance, Inc. 2 Avenue de Lafayette, Floor 4 Boston MA MASSACHUSETTS 02111 Director William Thorne c/o Energetic Insurance, Inc. 2 Avenue de Lafayette, Floor 4 Boston MA MASSACHUSETTS 02111 Director Other Banking and Financial Services Decline to Disclose 06b false 2019-03-22 false true false 0 3685318 2885318 800000 false 16 0 0 0 false Energetic Insurance, Inc. /s/ Jeffrey McAulay Jeffrey McAulay President 2019-04-08