0001231919-12-000004.txt : 20120816 0001231919-12-000004.hdr.sgml : 20120816 20120816115346 ACCESSION NUMBER: 0001231919-12-000004 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: Rule 506 FILED AS OF DATE: 20120816 DATE AS OF CHANGE: 20120816 EFFECTIVENESS DATE: 20120816 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Apixio Inc. CENTRAL INDEX KEY: 0001479676 IRS NUMBER: 800508223 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-182825 FILM NUMBER: 121039208 BUSINESS ADDRESS: STREET 1: 1825 S. GRANT STREET STREET 2: SUITE 210 CITY: SAN MATEO STATE: CA ZIP: 94402 BUSINESS PHONE: 877-427-4946 MAIL ADDRESS: STREET 1: 1825 S. GRANT STREET STREET 2: SUITE 210 CITY: SAN MATEO STATE: CA ZIP: 94402 D 1 primary_doc.xml X0706 D LIVE 0001479676 Apixio Inc. 1825 S. GRANT STREET SUITE 210 SAN MATEO CA CALIFORNIA 94402 877-427-4946 DELAWARE None None Corporation true 2009 Shahin Hedayat c/o Apixio Inc. 1825 S. Grant Street San Mateo CA CALIFORNIA 94402 Executive Officer Director Promoter Imran Chaudhri c/o Apixio Inc. 1825 S. Grant Street San Mateo CA CALIFORNIA 94402 Executive Officer Promoter Petro Estakhri c/o Apixio Inc. 1825 S. Grant Street San Mateo CA CALIFORNIA 94402 Director Shahram Shawn Dastmalchi c/o Apixio Inc. 1825 S. Grant Street San Mateo CA CALIFORNIA 94025 Executive Officer Director Promoter Farzad Nazem 1825 S. Grant Street Suite 210 San Mateo CA CALIFORNIA 94402 Director Other Technology Decline to Disclose 06 false 2012-08-03 false true true true true Series B Preferred Stock convertible into Common Stock false 0 7791919 5791918 2000001 false 10 0 0 0 false Apixio Inc. /s/ Shahram Shawn Dastmalchi Shahram Shawn Dastmalchi President 2012-08-16