0001774705-19-000001.txt : 20190522 0001774705-19-000001.hdr.sgml : 20190522 20190521183815 ACCESSION NUMBER: 0001774705-19-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20190522 DATE AS OF CHANGE: 20190521 EFFECTIVENESS DATE: 20190522 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Pollen Systems Corp CENTRAL INDEX KEY: 0001774705 IRS NUMBER: 822607091 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-340118 FILM NUMBER: 19843623 BUSINESS ADDRESS: STREET 1: 10400 NE 4TH STREET STE 2210 CITY: BELLEVUE STATE: WA ZIP: 98004 BUSINESS PHONE: (425) 395-7911 MAIL ADDRESS: STREET 1: 10400 NE 4TH STREET STE 2210 CITY: BELLEVUE STATE: WA ZIP: 98004 D 1 primary_doc.xml X0708 D LIVE 0001774705 Pollen Systems Corp 10400 NE 4TH STREET STE 2210 BELLEVUE WA WASHINGTON 98004 (425) 395-7911 DELAWARE None None Corporation true 2017 Keith McCall 10400 NE 4th St Ste 2110 Bellevue WA WASHINGTON 98004 Director Promoter Phil Van Etten 10400 NE 4th St Ste 2110 Bellevue WA WASHINGTON 98004 Executive Officer Other Technology Decline to Disclose 06b false 2018-10-17 false true false 0 1260000 777572 482428 false 15 0 0 0 false Pollen Systems Corp Phil Van Etten Phil Van Etten CEO 2019-05-21