0001534159-15-000002.txt : 20151224 0001534159-15-000002.hdr.sgml : 20151224 20151224124203 ACCESSION NUMBER: 0001534159-15-000002 CONFORMED SUBMISSION TYPE: D/A PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20151224 DATE AS OF CHANGE: 20151224 EFFECTIVENESS DATE: 20151224 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/A SEC ACT: 1933 Act SEC FILE NUMBER: 021-246157 FILM NUMBER: 151307620 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/A 1 primary_doc.xml X0707 D/A 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 true 0001534159-15-000001 2015-08-07 false true false 0 39002720 35077707 3925013 Total Offering Amount and Total Amount Sold include the conversion of previously issued convertible promissory notes. false 13 0 0 0 false PokitDok, Inc. /s/ Lisa M. Maki Lisa M. Maki President 2015-12-24