0001694306-17-000001.txt : 20170308 0001694306-17-000001.hdr.sgml : 20170308 20170308154836 ACCESSION NUMBER: 0001694306-17-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20170308 DATE AS OF CHANGE: 20170308 EFFECTIVENESS DATE: 20170308 FILER: COMPANY DATA: COMPANY CONFORMED NAME: ColubrisMX, Inc. CENTRAL INDEX KEY: 0001694306 IRS NUMBER: 811763899 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-282063 FILM NUMBER: 17675036 BUSINESS ADDRESS: STREET 1: 327 TERRACE DRIVE CITY: HOUSTON STATE: TX ZIP: 77007 BUSINESS PHONE: 832-472-5156 MAIL ADDRESS: STREET 1: 327 TERRACE DRIVE CITY: HOUSTON STATE: TX ZIP: 77007 D 1 primary_doc.xml X0707 D LIVE 0001694306 ColubrisMX, Inc. 9330 KIRBY DRIVE, SUITE 900 HOUSTON TX TEXAS 77054 650-714-1479 DELAWARE None None Corporation true 2016 DANIEL H. KIM 9330 KIRBY DRIVE, SUITE 900 HOUSTON TX TEXAS 77054 Executive Officer Director Other Health Care Decline to Disclose 06b false 2017-02-22 false true false 0 10666666 10666666 0 false 5 0 0 0 false ColubrisMX, Inc. DANIEL H. KIM DANIEL H. KIM PRESIDENT AND CHIEF EXECUTIVE OFFICER 2017-03-08