0001668359-16-000004.txt : 20161222 0001668359-16-000004.hdr.sgml : 20161222 20161222114739 ACCESSION NUMBER: 0001668359-16-000004 CONFORMED SUBMISSION TYPE: D/A PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20161222 DATE AS OF CHANGE: 20161222 EFFECTIVENESS DATE: 20161222 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Zipline, Inc. CENTRAL INDEX KEY: 0001668359 IRS NUMBER: 811466930 STATE OF INCORPORATION: WA FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D/A SEC ACT: 1933 Act SEC FILE NUMBER: 021-267830 FILM NUMBER: 162065668 BUSINESS ADDRESS: STREET 1: 10619 106TH PLACE NE CITY: KIRKLAND STATE: WA ZIP: 98033 BUSINESS PHONE: 425.505.0060 MAIL ADDRESS: STREET 1: 10619 106TH PLACE NE CITY: KIRKLAND STATE: WA ZIP: 98033 D/A 1 primary_doc.xml X0707 D/A LIVE 0001668359 Zipline, Inc. 10619 106TH PLACE NE KIRKLAND WA WASHINGTON 98033 425.505.0060 WASHINGTON None None Corporation true 2016 Yuval Hamudot 10619 106th Place NE Kirkland WA WASHINGTON 98033 Executive Officer Director Promoter Troy Frever 10619 106th Place NE Kirkland WA WASHINGTON 98033 Executive Officer Director Promoter Paul Ingalls 10619 106th Place NE Kirkland WA WASHINGTON 98033 Director Andrew Wright 10619 106th Place NE Kirkland WA WASHINGTON 98033 Director Other Technology Decline to Disclose 06b true 0001668359-16-000003 true false true true Debt is convertible, under certain circumstances, into issuer equity. false 0 750000 100000 650000 false 3 0 0 0 false Zipline, Inc. /s/ Yuval Hamudot Yuval Hamudot CEO 2016-12-22