0001711450-21-000001.txt : 20211001 0001711450-21-000001.hdr.sgml : 20211001 20211001092039 ACCESSION NUMBER: 0001711450-21-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20211001 DATE AS OF CHANGE: 20211001 EFFECTIVENESS DATE: 20211001 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: 021-415356 FILM NUMBER: 211297325 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. 15 Main St. #256 Watertown MA MASSACHUSETTS 02472 617-701-7796 DELAWARE None None Corporation true 2016 James Bowen c/o Energetic Insurance, Inc. 15 Main St. #256 Watertown MA MASSACHUSETTS 02472 Executive Officer Director Promoter Jeffrey McAulay c/o Energetic Insurance, Inc. 15 Main St. #256 Watertown MA MASSACHUSETTS 02472 Executive Officer Director Promoter Joshua Posamentier c/o Energetic Insurance, Inc. 15 Main St. #256 Watertown MA MASSACHUSETTS 02472 Director William Thorne c/o Energetic Insurance, Inc. 15 Main St. #256 Watertown MA MASSACHUSETTS 02472 Director Varun Jain c/o Energetic Insurance, Inc. 15 Main St. #256 Watertown MA MASSACHUSETTS 02472 Director Other Banking and Financial Services Decline to Disclose 06b false 2021-09-17 false true false 0 6999994 6999994 0 false 11 0 0 0 false Energetic Insurance, Inc. /s/ Jeffrey McAulay Jeffrey McAulay President 2021-09-27