0001788451-19-000002.txt : 20190918 0001788451-19-000002.hdr.sgml : 20190918 20190918165243 ACCESSION NUMBER: 0001788451-19-000002 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20190918 DATE AS OF CHANGE: 20190918 EFFECTIVENESS DATE: 20190918 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Ethos Technologies Inc. CENTRAL INDEX KEY: 0001788451 IRS NUMBER: 813181024 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-349178 FILM NUMBER: 191100247 BUSINESS ADDRESS: STREET 1: 460 BRYANT STREET, 3RD FLOOR CITY: SAN FRANCISCO STATE: CA ZIP: 94107 BUSINESS PHONE: (415) 322-2037 MAIL ADDRESS: STREET 1: 460 BRYANT STREET, 3RD FLOOR CITY: SAN FRANCISCO STATE: CA ZIP: 94107 D 1 primary_doc.xml X0708 D LIVE 0001788451 Ethos Technologies Inc. 460 BRYANT STREET SAN FRANCISCO CA CALIFORNIA 94107 (415) 322-2037 DELAWARE Ethos Insurance Corporation None Corporation true 2016 Peter Colis c/o Ethos Technologies Inc. 460 Bryant Street San Francisco CA CALIFORNIA 94107 Executive Officer Director Lingke Wang c/o Ethos Technologies Inc. 460 Bryant Street San Francisco CA CALIFORNIA 94107 Executive Officer Director Roelof Botha c/o Ethos Technologies Inc. 460 Bryant Street San Francisco CA CALIFORNIA 94107 Director Nate Niparko c/o Ethos Technologies Inc. 460 Bryant Street San Francisco CA CALIFORNIA 94107 Director Tyson Clark c/o Ethos Technologies Inc. 460 Bryant Street San Francisco CA CALIFORNIA 94107 Director John Kunze c/o Ethos Technologies Inc. 460 Bryant Street San Francisco CA CALIFORNIA 94107 Director Insurance Decline to Disclose 06b false 2019-07-09 false true true Offering of Series C Preferred Stock (Series C) and the underlying shares of Common Stock issuable upon conversion of Series C. false 0 59999977 59999977 0 false 10 0 0 0 false Ethos Technologies Inc. /s/ Peter Colis Peter Colis Chief Executive Officer 2019-09-18