0001722784-17-000001.txt : 20171122 0001722784-17-000001.hdr.sgml : 20171122 20171122142147 ACCESSION NUMBER: 0001722784-17-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20171122 DATE AS OF CHANGE: 20171122 EFFECTIVENESS DATE: 20171122 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Benefit Solutions, Inc. CENTRAL INDEX KEY: 0001722784 IRS NUMBER: 911603312 STATE OF INCORPORATION: WA FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-299403 FILM NUMBER: 171219580 BUSINESS ADDRESS: STREET 1: 12121 HARBOUR REACH DR., STE. 105 CITY: MUKILTEO STATE: WA ZIP: 98275 BUSINESS PHONE: (206) 859-2620 MAIL ADDRESS: STREET 1: 12121 HARBOUR REACH DR., STE. 105 CITY: MUKILTEO STATE: WA ZIP: 98275 D 1 primary_doc.xml X0708 D LIVE 0001722784 Benefit Solutions, Inc. 12121 HARBOUR REACH DR., STE. 105 MUKILTEO WA WASHINGTON 98275 (206) 859-2620 WASHINGTON None None Corporation true Shannon Jurdana 12121 HARBOUR REACH DR., STE. 105 Mukilteo WA WASHINGTON 98275 Executive Officer Director Douglas P. Gorder 12121 HARBOUR REACH DR., STE. 105 Mukilteo WA WASHINGTON 98275 Executive Officer Health Insurance Decline to Disclose 06b false 2017-11-08 false true false 0 5000000 3750000 1250000 false 6 0 0 0 false Benefit Solutions, Inc. /s/ Shannon Jurdana Shannon Jurdana President 2017-11-22