0001781371-19-000002.txt : 20190715 0001781371-19-000002.hdr.sgml : 20190715 20190715111759 ACCESSION NUMBER: 0001781371-19-000002 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20190715 DATE AS OF CHANGE: 20190715 EFFECTIVENESS DATE: 20190715 FILER: COMPANY DATA: COMPANY CONFORMED NAME: EIG Claims Services, Inc. CENTRAL INDEX KEY: 0001781371 IRS NUMBER: 201678147 STATE OF INCORPORATION: TX FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-344262 FILM NUMBER: 19954483 BUSINESS ADDRESS: STREET 1: 101 WEST ELM STREET CITY: GLEN ROSE STATE: TX ZIP: 76043 BUSINESS PHONE: 9362949700 MAIL ADDRESS: STREET 1: PO BOX 1277 CITY: GLEN ROSE STATE: TX ZIP: 76043 D 1 primary_doc.xml X0708 D LIVE 0001781371 EIG Claims Services, Inc. 101 WEST ELM STREET GLEN ROSE TX TEXAS 76043 9362949700 TEXAS Evans Claims Service, Inc. None Corporation true Jason D Evans PO Box 1277 Glen Rose TX TEXAS 76043 Executive Officer Director Fred A Brown PO Box 1277 Glen Rose TX TEXAS 76043 Executive Officer Director Other Decline to Disclose 06b false 2019-07-03 false true true true Promissory notes with conversion option false 0 2500000 250000 2250000 false 1 0 0 0 false EIG Claims Services, Inc. /Joshua Grandinetti/ Joshua T. Grandinetti Attorney for Issuer 2019-07-15