0001461356-13-000001.txt : 20130924 0001461356-13-000001.hdr.sgml : 20130924 20130924172318 ACCESSION NUMBER: 0001461356-13-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20130924 DATE AS OF CHANGE: 20130924 EFFECTIVENESS DATE: 20130924 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Practice Fusion Inc CENTRAL INDEX KEY: 0001461356 IRS NUMBER: 043838148 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-203480 FILM NUMBER: 131112854 BUSINESS ADDRESS: STREET 1: 300 BEALE STREET SUITE D CITY: SAN FRANCISCO STATE: CA ZIP: 94105 BUSINESS PHONE: 415-346-7700 MAIL ADDRESS: STREET 1: 300 BEALE STREET SUITE D CITY: SAN FRANCISCO STATE: CA ZIP: 94105 D 1 primary_doc.xml X0707 D LIVE 0001461356 Practice Fusion Inc 420 Taylor Street SAN FRANCISCO CA CALIFORNIA 94102 415-346-7700 DELAWARE None None Corporation true Ryan Howard C/O Practice Fusion, Inc, 420 Taylor Street San Francisco CA CALIFORNIA 94102 Executive Officer Director Cora Tellez C/O Practice Fusion, Inc, 420 Taylor Street San Francisco CA CALIFORNIA 94102 Director Michael Harden C/O Practice Fusion, Inc, 420 Taylor Street San Francisco CA CALIFORNIA 94102 Director Beth Seidenberg C/O Practice Fusion, Inc, 420 Taylor Street San Francisco CA CALIFORNIA 94102 Director Other Health Care Decline to Disclose 06b false 2013-09-11 false true false 1 70000000 69999984 16 false 17 0 0 0 false Practice Fusion Inc /s/ Ryan Howard Ryan Howard President/CEO 2013-09-24