0001700167-18-000005.txt : 20180629
0001700167-18-000005.hdr.sgml : 20180629
20180628203719
ACCESSION NUMBER: 0001700167-18-000005
CONFORMED SUBMISSION TYPE: D/A
PUBLIC DOCUMENT COUNT: 1
ITEM INFORMATION: 06b
FILED AS OF DATE: 20180629
DATE AS OF CHANGE: 20180628
EFFECTIVENESS DATE: 20180629
FILER:
COMPANY DATA:
COMPANY CONFORMED NAME: Covered Insurance Solutions, Inc.
CENTRAL INDEX KEY: 0001700167
IRS NUMBER: 814512828
STATE OF INCORPORATION: SD
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: D/A
SEC ACT: 1933 Act
SEC FILE NUMBER: 021-307325
FILM NUMBER: 18926877
BUSINESS ADDRESS:
STREET 1: 1177 GRANT STREET
STREET 2: #302
CITY: DENVER
STATE: CO
ZIP: 80203
BUSINESS PHONE: 605-209-1062
MAIL ADDRESS:
STREET 1: 1177 GRANT STREET
STREET 2: #302
CITY: DENVER
STATE: CO
ZIP: 80203
D/A
1
primary_doc.xml
X0708
D/A
LIVE
0001700167
Covered Insurance Solutions, Inc.
1177 Grant Street
#302
Denver
CO
COLORADO
80203
605-209-1062
SOUTH DAKOTA
None
None
Corporation
true
2016
Ross
Diedrich
1177 Grant Street
#302
Denver
CO
COLORADO
80203
Executive Officer
Director
Promoter
Michael
Diedrich
1177 Grant Street
#302
Denver
CO
COLORADO
80203
Executive Officer
Director
Promoter
Christopher
Diedrich
1177 Grant Street
#302
Denver
CO
COLORADO
80203
Executive Officer
Director
Promoter
David
Fitzgerald
1177 Grant Street
#302
Denver
CO
COLORADO
80203
Director
Other Technology
Decline to Disclose
- 06b
true
0001700167-18-000003
2018-02-23
false
true
true
true
true
Promissory notes convertible into equity securities of the Issuer.
false
0
1450000
1450000
0
false
16
0
0
0
false
Covered Insurance Solutions, Inc.
/s/ Ross P. Diedrich
Ross P. Diedrich
President
2018-06-28