0000905718-17-000584.txt : 20170525
0000905718-17-000584.hdr.sgml : 20170525
20170525153707
ACCESSION NUMBER: 0000905718-17-000584
CONFORMED SUBMISSION TYPE: D
PUBLIC DOCUMENT COUNT: 1
ITEM INFORMATION: 06b
FILED AS OF DATE: 20170525
DATE AS OF CHANGE: 20170525
EFFECTIVENESS DATE: 20170525
FILER:
COMPANY DATA:
COMPANY CONFORMED NAME: PolicyGenius Inc.
CENTRAL INDEX KEY: 0001663729
IRS NUMBER: 461553649
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: D
SEC ACT: 1933 Act
SEC FILE NUMBER: 021-287501
FILM NUMBER: 17869798
BUSINESS ADDRESS:
STREET 1: 22 W. 19TH ST.
STREET 2: 8TH FLOOR
CITY: NEW YORK
STATE: NY
ZIP: 10011
BUSINESS PHONE: 855-695-2255
MAIL ADDRESS:
STREET 1: 22 W. 19TH ST.
STREET 2: 8TH FLOOR
CITY: NEW YORK
STATE: NY
ZIP: 10011
D
1
primary_doc.xml
X0707
D
LIVE
0001663729
PolicyGenius Inc.
22 WEST 19TH STREET, FLOOR 8
NEW YORK
NY
NEW YORK
10011
855-695-2255
DELAWARE
KnowltOwl Inc.
None
Corporation
true
2012
Jennifer
Fitzgerald
c/o PolicyGenius Inc.
22 West 19th Street, Floor 8
New York
NY
NEW YORK
10011
Executive Officer
Director
Francois
de Lame
c/o PolicyGenius Inc.
22 West 19th Street, Floor 8
New York
NY
NEW YORK
10011
Director
Tianxiang
Zhuo
c/o PolicyGenius Inc.
22 West 19th Street, Floor 8
New York
NY
NEW YORK
10011
Director
David
Golden
c/o PolicyGenius Inc.
22 West 19th Street, Floor 8
Washington
DC
DISTRICT OF COLUMBIA
20036
Director
Parker
Barrile
c/o PolicyGenius Inc.
22 West 19th Street, Floor 8
New York
NY
NEW YORK
10011
Director
Jay
Mandelbaum
c/o PolicyGenius Inc.
22 West 19th Street, Floor 8
New York
NY
NEW YORK
10011
Director
Other
Decline to Disclose
- 06b
false
2017-05-05
false
true
true
Series C Preferred Stock
false
0
29999998
29999998
0
false
9
0
0
0
true
Some of the proceeds may be used for general working capital purposes which may include the payment of salaries and other fees to those listed in Item 3.
false
PolicyGenius Inc.
/s/ Jennifer Fitzgerald
Jennifer Fitzgerald
Chief Executive Officer
2017-05-25