0001712288-17-000002.txt : 20171120 0001712288-17-000002.hdr.sgml : 20171120 20171117192954 ACCESSION NUMBER: 0001712288-17-000002 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20171120 DATE AS OF CHANGE: 20171117 EFFECTIVENESS DATE: 20171120 FILER: COMPANY DATA: COMPANY CONFORMED NAME: FSA TECHNOLOGIES, INC. CENTRAL INDEX KEY: 0001712288 IRS NUMBER: 475410773 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-299097 FILM NUMBER: 171212385 BUSINESS ADDRESS: STREET 1: 1620 UNION AVENUE CITY: REDWOOD CITY STATE: CA ZIP: 94061 BUSINESS PHONE: 6509068746 MAIL ADDRESS: STREET 1: 1620 UNION AVENUE CITY: REDWOOD CITY STATE: CA ZIP: 94061 D 1 primary_doc.xml X0708 D LIVE 0001712288 FSA TECHNOLOGIES, INC. 1620 UNION AVENUE REDWOOD CITY CA CALIFORNIA 94061 6509068746 DELAWARE None None Corporation true 2015 Lawrence Roberts 1620 Union Avenue Redwood City CA CALIFORNIA 94061 Executive Officer Director Tom Shaw 1620 Union Avenue Redwood City CA CALIFORNIA 94061 Executive Officer Director Solomon Harsha 1620 Union Avenue Redwood City CA CALIFORNIA 94061 Director Tom Banta 1620 Union Avenue Redwood City CA CALIFORNIA 94061 Director Ali Marashi 1620 Union Avenue Redwood City CA CALIFORNIA 94061 Director Harry Dickinson 1620 Union Avenue Redwood City CA CALIFORNIA 94061 Executive Officer Telecommunications Decline to Disclose 06b false 2017-11-13 false true false 0 300000 100000 200000 false 2 0 0 0 false FSA TECHNOLOGIES, INC. /Lawrence Roberts/ Lawrence Roberts by J.M. Lewis, attorney in fact President and CEO 2017-11-17