0001680815-17-000005.txt : 20171201
0001680815-17-000005.hdr.sgml : 20171201
20171201152338
ACCESSION NUMBER: 0001680815-17-000005
CONFORMED SUBMISSION TYPE: D/A
PUBLIC DOCUMENT COUNT: 1
ITEM INFORMATION: 06b
FILED AS OF DATE: 20171201
DATE AS OF CHANGE: 20171201
EFFECTIVENESS DATE: 20171201
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/A
SEC ACT: 1933 Act
SEC FILE NUMBER: 021-294658
FILM NUMBER: 171234052
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/A
1
primary_doc.xml
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LIVE
0001680815
Predictive Safety SRP Inc
12150 E. BRIARWOOD AVENUE
SUITE 120
CENTENNIAL
CO
COLORADO
80112
720-383-4963
COLORADO
None
None
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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
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
Eric
Owen
12150 E. Briarwood Avenue
Suite 120
Centennial
CO
COLORADO
80112
Executive Officer
President and COO
Other Technology
Decline to Disclose
- 06b
true
0001680815-17-000004
2017-09-08
false
true
true
false
1000000
2500000
2500000
0
false
1
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false
Predictive Safety SRP Inc
/s/ David Blackburn
David Blackburn
Treasurer
2017-12-01