0001717881-17-000001.txt : 20171005 0001717881-17-000001.hdr.sgml : 20171005 20171005152628 ACCESSION NUMBER: 0001717881-17-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20171005 DATE AS OF CHANGE: 20171005 EFFECTIVENESS DATE: 20171005 FILER: COMPANY DATA: COMPANY CONFORMED NAME: ClearSurance, Inc. CENTRAL INDEX KEY: 0001717881 IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-296104 FILM NUMBER: 171124401 BUSINESS ADDRESS: STREET 1: 18 TITCOMB STREET CITY: NEWBURYPORT STATE: MA ZIP: 01950 BUSINESS PHONE: 978-255-7316 MAIL ADDRESS: STREET 1: 18 TITCOMB STREET CITY: NEWBURYPORT STATE: MA ZIP: 01950 D 1 primary_doc.xml X0708 D LIVE 0001717881 ClearSurance, Inc. 18 TITCOMB STREET NEWBURYPORT MA MASSACHUSETTS 01950 978-255-7316 DELAWARE None None Corporation true 2017 Michael Crowe 18 Titcomb Street Newburyport MA MASSACHUSETTS 01950 Executive Officer Other Decline to Disclose 06b false 2017-09-20 false true false 0 5500000 4085561 1414439 false 22 0 0 0 false ClearSurance, Inc. /s/ Michael Crowe Michael Crowe President and Chief Executive Officer 2017-10-05