0000947871-23-000973.txt : 20231003 0000947871-23-000973.hdr.sgml : 20231003 20231003121402 ACCESSION NUMBER: 0000947871-23-000973 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20231003 DATE AS OF CHANGE: 20231003 EFFECTIVENESS DATE: 20231003 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Take 2 Identity, Inc. CENTRAL INDEX KEY: 0001886885 IRS NUMBER: 862420087 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-493663 FILM NUMBER: 231302221 BUSINESS ADDRESS: STREET 1: PO BOX 86 CITY: LIBERTY HILL STATE: TX ZIP: 78642 BUSINESS PHONE: 512-426-9491 MAIL ADDRESS: STREET 1: PO BOX 86 CITY: LIBERTY HILL STATE: TX ZIP: 78642 D 1 primary_doc.xml X0708 D LIVE 0001886885 Take 2 Identity, Inc. 198 ZURGA LN LEANDER TX TEXAS 78641 512-426-9491 DELAWARE None None Corporation true 2021 Stephen Taylor Shoaff 198 ZURGA LN LEANDER TX TEXAS 78641 Executive Officer Director Mark Andrew Batchelor 130 W. Harbor Dr. Lake Zurich IL ILLINOIS 60047 Executive Officer Director Bill Wood 1000 Rio Grande St. Austin TX TEXAS 78701 Director Morgan Flager 600 W. 7th St. Austin TX TEXAS 78701 Director Other Technology Decline to Disclose 06b false 2023-09-27 false true false 0 4000000 4000000 0 false 2 0 0 0 false Take 2 Identity, Inc. /s/ Stephen Taylor Shoaff Stephen Taylor Shoaff Chief Executive Officer 2023-10-02