0001680815-21-000001.txt : 20210517 0001680815-21-000001.hdr.sgml : 20210517 20210517141606 ACCESSION NUMBER: 0001680815-21-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20210517 DATE AS OF CHANGE: 20210517 EFFECTIVENESS DATE: 20210517 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: 021-399630 FILM NUMBER: 21929464 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 951 20th St., Unit 13467 Denver CO COLORADO 80201 720-383-4963 COLORADO None None Corporation true William (Tripp) Wall, III 951 20th St., Unit 13467 Denver CO COLORADO 80201 Executive Officer Chief Executive Officer John D. Hay 951 20th St., Unit 13467 Denver CO COLORADO 80201 Executive Officer Director Chief Financial Officer and Treasurer Danny Thompson 951 20th St., Unit 13467 Denver CO COLORADO 80201 Director Henry Bowles 951 20th St., Unit 13467 Denver CO COLORADO 80201 Director Jeffrey Sease 951 20th St., Unit 13467 Denver CO COLORADO 80201 Executive Officer Chief Operations Officer Carol Setter 951 20th St., Unit 13467 Denver CO COLORADO 80201 Executive Officer Vice President of Sales and Strategic Relationship Marcus Wichmann 951 20th St., Unit 13467 Denver CO COLORADO 80201 Executive Officer Director of Technology Other Technology Decline to Disclose 06b false 2021-05-07 false true true false 0 2000000 2000000 0 false 1 0 0 0 false Predictive Safety SRP Inc John D. Hay John D. Hay Chief Financial Officer 2021-05-17