0001231919-20-000008.txt : 20200205 0001231919-20-000008.hdr.sgml : 20200205 20200205132101 ACCESSION NUMBER: 0001231919-20-000008 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20200205 DATE AS OF CHANGE: 20200205 EFFECTIVENESS DATE: 20200205 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Boost Insurance USA, Inc. CENTRAL INDEX KEY: 0001716228 IRS NUMBER: 821404234 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-359822 FILM NUMBER: 20578062 BUSINESS ADDRESS: STREET 1: 419 PARK AVENUE SOUTH CITY: NEW YORK STATE: NY ZIP: 10016 BUSINESS PHONE: 973-219-7362 MAIL ADDRESS: STREET 1: 419 PARK AVENUE SOUTH CITY: NEW YORK STATE: NY ZIP: 10016 D 1 primary_doc.xml X0708 D LIVE 0001716228 Boost Insurance USA, Inc. 307 5th Avenue NEW YORK NY NEW YORK 10016 973-219-7362 DELAWARE None None Corporation true 2017 Alex Maffeo c/o Boost Insurance USA, Inc. 307 5th Avenue New York NY NEW YORK 10016 Executive Officer Director Andrew Lerner c/o Boost Insurance USA, Inc. 307 5th Avenue New York NY NEW YORK 10016 Director Luke Ledbetter c/o Boost Insurance USA, Inc. 307 5th Avenue New York NY NEW YORK 10016 Director Bennett Siegel c/o Boost Insurance USA, Inc. 307 5th Avenue New York NY NEW YORK 10016 Director Ellie Wheeler c/o Boost Insurance USA, Inc. 307 5th Avenue New York NY NEW YORK 10016 Director Other Decline to Disclose 06b false 2019-07-23 false true false 0 11499992 11499992 0 false 6 0 0 0 false Boost Insurance USA, Inc. /s/ Alex Maffeo Alex Maffeo Chief Executive Officer 2020-02-05