0001418731-15-000004.txt : 20150828 0001418731-15-000004.hdr.sgml : 20150828 20150828134304 ACCESSION NUMBER: 0001418731-15-000004 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20150828 DATE AS OF CHANGE: 20150828 EFFECTIVENESS DATE: 20150828 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Medfusion, Inc. CENTRAL INDEX KEY: 0001418731 IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-246646 FILM NUMBER: 151081403 BUSINESS ADDRESS: STREET 1: 5501 DILLARD DRIVE CITY: CARY STATE: NC ZIP: 27518 BUSINESS PHONE: 877-599-5123 MAIL ADDRESS: STREET 1: 5501 DILLARD DRIVE CITY: CARY STATE: NC ZIP: 27518 FORMER COMPANY: FORMER CONFORMED NAME: Medfusion Inc. DATE OF NAME CHANGE: 20071116 D 1 primary_doc.xml X0707 D LIVE 0001418731 Medfusion, Inc. 5501 DILLARD DRIVE CARY NC NORTH CAROLINA 27518 877-599-5123 DELAWARE Medfusion Inc. Corporation true Stephen N. Malik 5501 Dillard Drive Cary NC NORTH CAROLINA 27518 Executive Officer Director Roger L. Davenport 5501 Dillard Drive Cary NC NORTH CAROLINA 27518 Executive Officer Director Burton B. Goldstein 5501 Dillard Drive Cary NC NORTH CAROLINA 27518 Director David S. Jones 5501 Dillard Drive Cary NC NORTH CAROLINA 27518 Director Other Technology Decline to Disclose 06b false 2015-08-20 false true false 1500000 3000000 3000000 0 false 2 0 0 0 false Medfusion, Inc. Stephen N. Malik Stephen N. Malik Executive Chairman 2015-08-28