0001719571-17-000001.txt : 20171016 0001719571-17-000001.hdr.sgml : 20171016 20171016103013 ACCESSION NUMBER: 0001719571-17-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20171016 DATE AS OF CHANGE: 20171016 EFFECTIVENESS DATE: 20171016 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Etiometry Inc. CENTRAL INDEX KEY: 0001719571 IRS NUMBER: 272023140 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-296716 FILM NUMBER: 171137900 BUSINESS ADDRESS: STREET 1: 119 BRAINTREE STREET, #210 CITY: BOSTON STATE: MA ZIP: 02134 BUSINESS PHONE: 857-366-9333 MAIL ADDRESS: STREET 1: 119 BRAINTREE STREET, #210 CITY: BOSTON STATE: MA ZIP: 02134 D 1 primary_doc.xml X0708 D LIVE 0001719571 Etiometry Inc. 119 BRAINTREE STREET, #210 BOSTON MA MASSACHUSETTS 02134 857-366-9333 DELAWARE Etiometry LLC None Corporation true Peter Rock 119 Braintree Street, #210 Boston MA MASSACHUSETTS 02134 Executive Officer Director Chief Financial Officer Evan Butler 119 Braintree Street, #210 Boston MA MASSACHUSETTS 02134 Executive Officer Director Chief Executive Officer Dimitar Baronov 119 Braintree Street, #210 Boston MA MASSACHUSETTS 02134 Executive Officer Director Chief Technology Officer Jesse Lock 119 Braintree Street, #210 Boston MA MASSACHUSETTS 02134 Executive Officer Director Chief Medical Officer Eric Meyers 119 Braintree Street, #210 Boston MA MASSACHUSETTS 02134 Director Nelson Stacks 119 Braintree Street, #210 Boston MA MASSACHUSETTS 02134 Director Other Health Care Decline to Disclose 06b false 2017-09-29 false true false 0 5000000 500000 4500000 true 0 3 0 0 0 false Etiometry Inc. /s/ Peter Rock Peter Rock Chief Financial Officer 2017-10-16