0001560563-14-000001.txt : 20141021 0001560563-14-000001.hdr.sgml : 20141021 20141021122414 ACCESSION NUMBER: 0001560563-14-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20141021 DATE AS OF CHANGE: 20141021 EFFECTIVENESS DATE: 20141021 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: 021-226845 FILM NUMBER: 141165349 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. 5227 111TH LN NE KIRKLAND WA WASHINGTON 98033 206-271-2891 WASHINGTON None None Corporation true 2012 PAUL INGALLS 5227 111TH LN NE KIRKLAND WA WASHINGTON 98033 Executive Officer Director Promoter DANA DYKSTERHUIS 532 9TH AVE KIRKLAND WA WASHINGTON 98033 Executive Officer Director Promoter Other Technology Decline to Disclose 06b false 2014-08-15 false true true Debt is convertible, under certain circumstances, into issuer equity false 0 550000 500000 50000 false 7 0 0 0 false FANZO, INC. /s/ Paul Ingalls Paul Ingalls President 2014-10-21