0001534159-17-000001.txt : 20170306 0001534159-17-000001.hdr.sgml : 20170306 20170303174831 ACCESSION NUMBER: 0001534159-17-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20170306 DATE AS OF CHANGE: 20170303 EFFECTIVENESS DATE: 20170306 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: 021-281809 FILM NUMBER: 17665581 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 (877) 564-5029 DELAWARE None None Corporation true 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 Jessica Zeaske c/o 28 E. 3rd Avenue, Suite 300 San Mateo CA CALIFORNIA 94401 Director Kent Elmer c/o 28 E. 3rd Avenue, Suite 300 San Mateo CA CALIFORNIA 94401 Executive Officer Other Technology Decline to Disclose 06b false 2017-02-16 false true true false 0 Duff & Phelps Securities LLC 36927 Pagemill Partners, LLC 36927 311 S. Wacker Drive, Suite 4200 Chicago IL ILLINOIS 60606 NY NEW YORK false 7500000 5000000 2500000 false 1 0 175000 0 false PokitDok, Inc. /s/ Lisa M. Maki Lisa M. Maki President & CEO 2017-02-28