0001534159-15-000001.txt : 20150820 0001534159-15-000001.hdr.sgml : 20150820 20150820125815 ACCESSION NUMBER: 0001534159-15-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20150820 DATE AS OF CHANGE: 20150820 EFFECTIVENESS DATE: 20150820 FILER: COMPANY DATA: COMPANY CONFORMED NAME: PokitDok, Inc. CENTRAL INDEX KEY: 0001534159 IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-246157 FILM NUMBER: 151065891 BUSINESS ADDRESS: STREET 1: 28 E 3RD AVENUE SUITE 201 CITY: SAN MATEO STATE: CA ZIP: 94401 BUSINESS PHONE: 650-503-3793 MAIL ADDRESS: STREET 1: 28 E 3RD AVENUE SUITE 201 CITY: SAN MATEO STATE: CA ZIP: 94401 D 1 primary_doc.xml X0707 D LIVE 0001534159 PokitDok, Inc. 28 E 3RD AVENUE SUITE 300 SAN MATEO CA CALIFORNIA 94401 650-503-3793 DELAWARE None None Corporation true 2011 Lisa M Maki c/o 28 E. 3rd Avenue, Suite 300 San Mateo CA CALIFORNIA 94401 Executive Officer Director Theodore Tanner c/o 28 E. 3rd Avenue, Suite 300 San Mateo CA CALIFORNIA 94401 Director John Backus c/o 28 E. 3rd Avenue, Suite 300 San Mateo CA CALIFORNIA 94401 Director William Stewart c/o 28 E. 3rd Avenue, Suite 300 San Mateo CA CALIFORNIA 94401 Director Jodi Hubler c/o 28 E. 3rd Avenue, Suite 300 San Mateo CA CALIFORNIA 94401 Director Tony Miller c/o 28 E. 3rd Avenue, Suite 300 San Mateo CA CALIFORNIA 94401 Director Other Technology Decline to Disclose 06b false 2015-08-07 false true false 0 34002721 34002721 0 Total Offering Amount and Total Amount Sold include the conversion of previously issued convertible promissory notes. false 12 0 0 0 false PokitDok, Inc. /s/ Lisa M. Maki Lisa M. Maki President 2015-08-18