0001680815-17-000004.txt : 20170914 0001680815-17-000004.hdr.sgml : 20170914 20170913173422 ACCESSION NUMBER: 0001680815-17-000004 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20170914 DATE AS OF CHANGE: 20170913 EFFECTIVENESS DATE: 20170914 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Predictive Safety SRP Inc CENTRAL INDEX KEY: 0001680815 IRS NUMBER: 812029999 STATE OF INCORPORATION: CO FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-294658 FILM NUMBER: 171083872 BUSINESS ADDRESS: STREET 1: 12150 E. BRIARWOOD AVENUE STREET 2: SUITE 120 CITY: CENTENNIAL STATE: CO ZIP: 80112 BUSINESS PHONE: 720-383-4963 MAIL ADDRESS: STREET 1: 12150 E. BRIARWOOD AVENUE STREET 2: SUITE 120 CITY: CENTENNIAL STATE: CO ZIP: 80112 D 1 primary_doc.xml X0708 D LIVE 0001680815 Predictive Safety SRP Inc 12150 E. BRIARWOOD AVENUE SUITE 120 CENTENNIAL CO COLORADO 80112 720-383-4963 COLORADO None None Corporation true 2015 John D. Hay 12150 E. Briarwood Avenue Suite 120 Centennial CO COLORADO 80112 Director Timothy Hobbs 12150 E. Briarwood Avenue Suite 120 Centennial CO COLORADO 80112 Director David D. Lauriski 12150 E. Briarwood Avenue Suite 120 Centennial CO COLORADO 80112 Director Mark Savit 12150 E. Briarwood Avenue Suite 120 Centennial CO COLORADO 80112 Director Jeffrey Sease 12150 E. Briarwood Avenue Suite 120 Centennial CO COLORADO 80112 Executive Officer Vice President Operations Joshua Savit 12150 E. Briarwood Avenue Suite 120 Centennial CO COLORADO 80112 Executive Officer Vice President - Sales Mark Premo 12150 E. Briarwood Avenue Suite 120 Centennial CO COLORADO 80112 Executive Officer Director President and CEO Carol Setters 12150 E. Briarwood Avenue Suite 120 Centennial CO COLORADO 80112 Executive Officer Vice President - Business Development Lori Guasta 12150 E. Briarwood Avenue Suite 120 Centennial CO COLORADO 80112 Executive Officer Vice President and Corporate Secretary Henry Bowles 12150 E. Briarwood Avenue Suite 120 Centennial CO COLORADO 80112 Director David Blackburn 12150 E. Briarwood Avenue Suite 120 Centennial CO COLORADO 80112 Executive Officer Treasurer Other Technology Decline to Disclose 06b false 2017-09-08 false true true false 1000000 2500000 1000000 1500000 false 1 0 0 0 false Predictive Safety SRP Inc David Blackburn David Blackburn Treasurer 2017-09-13