0001461356-13-000002.txt : 20131209 0001461356-13-000002.hdr.sgml : 20131209 20131209171507 ACCESSION NUMBER: 0001461356-13-000002 CONFORMED SUBMISSION TYPE: D/A PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20131209 DATE AS OF CHANGE: 20131209 EFFECTIVENESS DATE: 20131209 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/A SEC ACT: 1933 Act SEC FILE NUMBER: 021-203480 FILM NUMBER: 131266319 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/A 1 primary_doc.xml X0707 D/A LIVE 0001461356 Practice Fusion Inc 300 BEALE STREET SUITE D SAN FRANCISCO CA CALIFORNIA 94105 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 true 0001461356-13-000001 2013-09-11 false true false 1 85449982 85449982 0 Initial, First and Second Subsequent Closings - $69,999,984 Final Subsequent Closing - $15,449,998 false 20 0 0 0 false Practice Fusion Inc /s/ Ryan Howard Ryan Howard President/CEO 2013-12-09