0001560563-13-000002.txt : 20131204 0001560563-13-000002.hdr.sgml : 20131204 20131203193619 ACCESSION NUMBER: 0001560563-13-000002 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20131204 DATE AS OF CHANGE: 20131203 EFFECTIVENESS DATE: 20131204 FILER: COMPANY DATA: COMPANY CONFORMED NAME: FANZO, INC. CENTRAL INDEX KEY: 0001560563 IRS NUMBER: 455303258 STATE OF INCORPORATION: WA FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-207350 FILM NUMBER: 131255692 BUSINESS ADDRESS: STREET 1: 5227 111TH LN NE CITY: KIRKLAND STATE: WA ZIP: 98033 BUSINESS PHONE: 206-271-2891 MAIL ADDRESS: STREET 1: 5227 111TH LN NE CITY: KIRKLAND STATE: WA ZIP: 98033 D 1 primary_doc.xml X0707 D LIVE 0001560563 FANZO, INC. 934 6th Street S #201 KIRKLAND WA WASHINGTON 98033 206-271-2891 WASHINGTON None None Corporation true 2012 Paul Ingalls 5227 111th Lane NE Kirkland WA WASHINGTON 98033 Executive Officer Director Promoter Dana Dyksterhuis 2901 S. Jackson, #203 Seattle WA WASHINGTON 98144 Executive Officer Director Promoter Other Technology Decline to Disclose 06b false true false true true Debt is convertible, under certain circumstances, into issuer equity false 0 600000 0 600000 false 0 0 0 0 false FANZO, INC. /s/ Paul Ingalls Paul Ingalls President & CEO 2013-12-03