0001724643-17-000001.txt : 20171207 0001724643-17-000001.hdr.sgml : 20171207 20171207143639 ACCESSION NUMBER: 0001724643-17-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20171207 DATE AS OF CHANGE: 20171207 EFFECTIVENESS DATE: 20171207 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Pie Insurance Holdings, Inc. CENTRAL INDEX KEY: 0001724643 IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-300276 FILM NUMBER: 171244496 BUSINESS ADDRESS: STREET 1: 1015 15TH ST. NW, STE. 600 CITY: WASHINGTON STATE: DC ZIP: 20005 BUSINESS PHONE: 7035175066 MAIL ADDRESS: STREET 1: 1015 15TH ST. NW, STE. 600 CITY: WASHINGTON STATE: DC ZIP: 20005 D 1 primary_doc.xml X0708 D LIVE 0001724643 Pie Insurance Holdings, Inc. 1015 15TH ST. NW, STE. 600 WASHINGTON DC DISTRICT OF COLUMBIA 20005 7035175066 DELAWARE None None Corporation true 2017 John C. Swigart 1015 15TH ST. NW, STE. 600 Washington DC DISTRICT OF COLUMBIA 20005-2605 Executive Officer Director Dax Craig 1015 15TH ST. NW, STE. 600 Washington DC DISTRICT OF COLUMBIA 20005-2605 Director Kip Oberting 1015 15TH ST. NW, STE. 600 Washington DC DISTRICT OF COLUMBIA 20005-2605 Director Joel Moxley 1015 15TH ST. NW, STE. 600 Washington DC DISTRICT OF COLUMBIA 20005-2605 Director Insurance Decline to Disclose 06b false 2017-10-02 false true true Offer and sale of shares of preferred stock and the underlying shares of common stock issuable upon conversion thereof. false 0 4331962 4331962 0 false 7 0 0 0 false Pie Insurance Holdings, Inc. /s/ John C. Swigart John C. Swigart Chief Executive Officer 2017-12-07