0001719571-20-000001.txt : 20201001 0001719571-20-000001.hdr.sgml : 20201001 20201001112519 ACCESSION NUMBER: 0001719571-20-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20201001 DATE AS OF CHANGE: 20201001 EFFECTIVENESS DATE: 20201001 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: 021-376862 FILM NUMBER: 201214920 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. 280 Summer St., 4th Floor BOSTON MA MASSACHUSETTS 02210 857-366-9333 DELAWARE Etiometry LLC None Corporation true Peter Rock 280 Summer St., 4th Floor Boston MA MASSACHUSETTS 02210 Executive Officer Chief Financial Officer Evan Butler 280 Summer St., 4th Floor Boston MA MASSACHUSETTS 02210 Executive Officer Director Chief Operating Officer Shane Cooke 280 Summer St., 4th Floor Boston MA MASSACHUSETTS 02210 Executive Officer Director President and CEO Guy Lyndon Fish 280 Summer St., 4th Floor Boston MA MASSACHUSETTS 02210 Director Gregory S. Martin 280 Summer St., 4th Floor Boston MA MASSACHUSETTS 02210 Director David Shepherd 280 Summer St., 4th Floor Boston MA MASSACHUSETTS 02210 Director Dimitar Baronov 280 Summer St., 4th Floor Boston MA MASSACHUSETTS 02210 Executive Officer Chief Technology Officer Other Health Care Decline to Disclose 06b false 2020-09-16 false true false 0 7000000 2002992 4997008 true 0 19 0 0 0 false Etiometry Inc. /s/ Peter Rock Peter Rock Chief Financial Officer 2020-10-01