0001302175-17-000002.txt : 20170118 0001302175-17-000002.hdr.sgml : 20170118 20170118142616 ACCESSION NUMBER: 0001302175-17-000002 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20170118 DATE AS OF CHANGE: 20170118 EFFECTIVENESS DATE: 20170118 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: 021-278683 FILM NUMBER: 17533182 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. 1800 Diagonal Road SUITE 600 Alexandria VA VIRGINIA 22314 8663907404 DELAWARE Clinical Information Corporation Nex5, Inc. VERISMA SYSTEMS INC Corporation true James C. Moore II 1800 Diagonal Road, Suite 600 Alexandria VA VIRGINIA 22314 Executive Officer Director Kenneth Thompson 1800 Diagonal Road, Suite 600 Alexandria VA VIRGINIA 22314 Executive Officer Director Mark Pacala 1800 Diagonal Road, Suite 600 Alexandria VA VIRGINIA 22314 Director James Riley 1800 Diagonal Road, Suite 600 Alexandria VA VIRGINIA 22314 Director Marty McKenna 1800 Diagonal Road, Suite 600 Alexandria VA VIRGINIA 22314 Executive Officer Director David Collins 1800 Diagonal Road, Suite 600 Alexandria VA VIRGINIA 22314 Executive Officer Brian Murphy 1800 Diagonal Road, Suite 600 Alexandria VA VIRGINIA 22314 Director Jeff Levitt 1800 Diagonal Road, Suite 600 Alexandria VA VIRGINIA 22314 Director Other Health Care Decline to Disclose 06b false 2016-12-22 false true true Preferred Stock can convert to Common Stock. false 0 4500000 2500000 2000000 The total remaining to be sold includes a call option. false 3 0 0 0 false VERISMA SYSTEMS, INC. /s/ James C. Moore II James C. Moore II Chief Legal Officer 2017-01-11