0001302175-15-000003.txt : 20151020 0001302175-15-000003.hdr.sgml : 20151020 20151020135134 ACCESSION NUMBER: 0001302175-15-000003 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20151020 DATE AS OF CHANGE: 20151020 EFFECTIVENESS DATE: 20151020 FILER: COMPANY DATA: COMPANY CONFORMED NAME: VERISMA SYSTEMS, INC. CENTRAL INDEX KEY: 0001302175 IRS NUMBER: 030438772 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-249731 FILM NUMBER: 151166049 BUSINESS ADDRESS: STREET 1: 510 W. 3RD STREET STREET 2: SUITE 200 CITY: PUEBLO STATE: CO ZIP: 81003 BUSINESS PHONE: 8663907404 MAIL ADDRESS: STREET 1: 510 W. 3RD STREET STREET 2: SUITE 200 CITY: PUEBLO STATE: CO ZIP: 81003 FORMER COMPANY: FORMER CONFORMED NAME: VERISMA SYSTEMS INC DATE OF NAME CHANGE: 20040901 D 1 primary_doc.xml X0707 D LIVE 0001302175 VERISMA SYSTEMS, INC. 510 W. 3RD STREET SUITE 200 PUEBLO CO COLORADO 81003 8663907404 DELAWARE Clinical Information Corporation Nex5, Inc. VERISMA SYSTEMS INC Corporation true James C. Moore II 510 W. 3rd Street, Suite 200 Pueblo CO COLORADO 81003 Executive Officer Director Kenneth Thompson 510 W. 3rd Street, Suite 200 Pueblo CO COLORADO 81003 Executive Officer Director Mark Pacala 510 W. 3rd Street, Suite 200 Pueblo CO COLORADO 81003 Director James Riley 510 W. 3rd Street, Suite 200 Pueblo CO COLORADO 81003 Director Business Services Decline to Disclose 06b false 2015-10-05 false true false 0 Western Reserve Partners LLC 133158 None None 200 Public Square Suite 3750 Cleveland OH OHIO 44114 CT CONNECTICUT FL FLORIDA MD MARYLAND OH OHIO PA PENNSYLVANIA TX TEXAS VA VIRGINIA WA WASHINGTON false 14555457 8505983 6049474 Total amount sold includes the conversion of $555,983 in debt. false 10 587028 0 Up to an additional $423,463 in sales commissions may be paid if the remainder of the offering is sold. 0 false VERISMA SYSTEMS, INC. /s/ James C. Moore II James C. Moore II President 2015-10-20