0001561461-13-000002.txt : 20131015 0001561461-13-000002.hdr.sgml : 20131014 20131015165925 ACCESSION NUMBER: 0001561461-13-000002 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20131015 DATE AS OF CHANGE: 20131015 EFFECTIVENESS DATE: 20131015 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Scan, Inc. CENTRAL INDEX KEY: 0001561461 IRS NUMBER: 320349805 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-204612 FILM NUMBER: 131152437 BUSINESS ADDRESS: STREET 1: 62 W 220 S CITY: OREM STATE: UT ZIP: 84058 BUSINESS PHONE: (801) 310-1421 MAIL ADDRESS: STREET 1: 62 W 220 S CITY: OREM STATE: UT ZIP: 84058 D 1 primary_doc.xml X0707 D LIVE 0001561461 Scan, Inc. 62 W 220 S OREM UT UTAH 84058 (801) 310-1421 DELAWARE None None Corporation true 2011 Garrett Gee c/o Scan, Inc. 62 W 220 S Orem UT UTAH 84058 Executive Officer Director Kirk Ouimet c/o Scan, Inc. 62 W 220 S Orem UT UTAH 84058 Executive Officer Director Avi Eyal c/o Scan, Inc. 62 W 220 S Orem UT UTAH 84058 Director Other Technology Decline to Disclose 06b false 2012-11-02 false true false 0 6499998 6499998 0 Series A Preferred Stock and the underlying Common Stock issuable upon conversion thereof false 5 0 0 0 false Scan, Inc. /s/ Kirk Ouimet Kirk Ouimet Secretary 2013-10-15