0001115787-16-000004.txt : 20160930 0001115787-16-000004.hdr.sgml : 20160930 20160930120538 ACCESSION NUMBER: 0001115787-16-000004 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20160930 DATE AS OF CHANGE: 20160930 EFFECTIVENESS DATE: 20160930 FILER: COMPANY DATA: COMPANY CONFORMED NAME: MEDICALIS Corp CENTRAL INDEX KEY: 0001115787 IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-271627 FILM NUMBER: 161912007 BUSINESS ADDRESS: STREET 1: 2841 VALLEJO STREET CITY: SAN FRANCISCO STATE: CA ZIP: 94123 BUSINESS PHONE: 8775795454 MAIL ADDRESS: STREET 1: 2841 VALLEJO STREET CITY: SAN FRANCISCO STATE: CA ZIP: 94123 FORMER COMPANY: FORMER CONFORMED NAME: MEDICALIS CORP DATE OF NAME CHANGE: 20000526 D 1 primary_doc.xml X0707 D LIVE 0001115787 MEDICALIS Corp 2841 VALLEJO STREET SAN FRANCISCO CA CALIFORNIA 94123 8775795454 DELAWARE MEDICALIS CORP Corporation true Oran Muduroglu 2841 Vallejo Street San Francisco CA CALIFORNIA 94123 Executive Officer Director Promoter Chief Executive Officer Jonathan Darer 2841 Vallejo Street San Francisco CA CALIFORNIA 94123 Executive Officer Chief Medical Officer Guy Anthony 2841 Vallejo Street San Francisco CA CALIFORNIA 94123 Executive Officer Chief Financial Officer Allan Swenson 2841 Vallejo Street San Francisco CA CALIFORNIA 94123 Director Director, Field Operations Gary Pacheco 2841 Vallejo Street San Francisco CA CALIFORNIA 94123 Director Director of Engineering Derek MacNeil 2841 Vallejo Street San Francisco CA CALIFORNIA 94123 Director Director of Technical Operations & Customer Support Cleon Wood-Salomon 2841 Vallejo Street San Francisco CA CALIFORNIA 94123 Director Director of Product Management Jordan Halter 2841 Vallejo Street San Francisco CA CALIFORNIA 94123 Executive Officer VP of Business Development Other Health Care Not Applicable 06b false 2014-11-13 true true true Debt convertible to equity false 0 4200000 4200000 0 false 1 0 0 0 false MEDICALIS Corp Guy Anthony Guy Anthony Chief Financial Officer 2016-09-30