0001788451-22-000002.txt : 20220124 0001788451-22-000002.hdr.sgml : 20220124 20220124161949 ACCESSION NUMBER: 0001788451-22-000002 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20220124 DATE AS OF CHANGE: 20220124 EFFECTIVENESS DATE: 20220124 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: 021-430588 FILM NUMBER: 22549588 BUSINESS ADDRESS: STREET 1: 75 HAWTHORNE STREET STREET 2: SUITE 2000 CITY: SAN FRANCISCO STATE: CA ZIP: 94105 BUSINESS PHONE: (415) 915-0665 MAIL ADDRESS: STREET 1: 75 HAWTHORNE STREET STREET 2: SUITE 2000 CITY: SAN FRANCISCO STATE: CA ZIP: 94105 D 1 primary_doc.xml X0708 D LIVE 0001788451 Ethos Technologies Inc. 75 HAWTHORNE STREET SUITE 2000 SAN FRANCISCO CA CALIFORNIA 94105 (415) 915-0665 DELAWARE Ethos Insurance Corporation None Corporation true Peter Colis c/o Ethos Technologies Inc. 75 Hawthorne Street, Suite 2000 San Francisco CA CALIFORNIA 94105 Executive Officer Director Lingke Wang c/o Ethos Technologies Inc. 75 Hawthorne Street, Suite 2000 San Francisco CA CALIFORNIA 94105 Executive Officer Director Roelof Botha c/o Ethos Technologies Inc. 75 Hawthorne Street, Suite 2000 San Francisco CA CALIFORNIA 94105 Director Nate Niparko c/o Ethos Technologies Inc. 75 Hawthorne Street, Suite 2000 San Francisco CA CALIFORNIA 94105 Director Khozema Shipchandler c/o Ethos Technologies Inc. 75 Hawthorne Street, Suite 2000 San Francisco CA CALIFORNIA 94105 Director John Kunze c/o Ethos Technologies Inc. 75 Hawthorne Street, Suite 2000 San Francisco CA CALIFORNIA 94105 Director Kyle Doherty c/o Ethos Technologies Inc. 75 Hawthorne Street, Suite 2000 San Francisco CA CALIFORNIA 94105 Director Priscilla Hung c/o Ethos Technologies Inc. 75 Hawthorne Street, Suite 2000 San Francisco CA CALIFORNIA 94105 Director Vipul Sharma c/o Ethos Technologies Inc. 75 Hawthorne Street, Suite 2000 San Francisco CA CALIFORNIA 94105 Executive Officer Anan Kashyap c/o Ethos Technologies Inc. 75 Hawthorne Streeet, Suite 2000 San Francisco CA CALIFORNIA 94105 Executive Officer Insurance Decline to Disclose 06b false 2022-01-12 false true true Offering of Common Stock. true 0 7456301 7456301 0 false 52 0 0 0 false Ethos Technologies Inc. /s/ Anan Kashyap Anan Kashyap Chief Financial Officer 2022-01-24