0001571655-17-000003.txt : 20170117 0001571655-17-000003.hdr.sgml : 20170117 20170117125034 ACCESSION NUMBER: 0001571655-17-000003 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20170117 DATE AS OF CHANGE: 20170117 EFFECTIVENESS DATE: 20170117 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Querium Corp CENTRAL INDEX KEY: 0001571655 IRS NUMBER: 461966146 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-278546 FILM NUMBER: 17530145 BUSINESS ADDRESS: STREET 1: 5806 MESA DRIVE STREET 2: SUITE 250 CITY: AUSTIN STATE: TX ZIP: 78731 BUSINESS PHONE: 512-833-6955 MAIL ADDRESS: STREET 1: 5806 MESA DRIVE STREET 2: SUITE 250 CITY: AUSTIN STATE: TX ZIP: 78731 D 1 primary_doc.xml X0707 D LIVE 0001571655 Querium Corp 5806 Mesa Drive Suite 250 AUSTIN TX TEXAS 78731 512-833-6955 DELAWARE None None Corporation true 2013 Kent Fuka 5806 Mesa Drive Suite 250 Austin TX TEXAS 78731 Executive Officer Director Frances Cairns 5806 Mesa Drive Suite 250 Austin TX TEXAS 78731 Director Drew Duncan 5806 Mesa Drive Suite 250 Austin TX TEXAS 78731 Director James Caras 5806 Mesa Drive Suite 250 Austin TX TEXAS 78731 Director Other Technology Decline to Disclose 06b false 2017-01-03 false true false 0 3368796 3188812 179984 Includes $2,031,263 of principal amount of convertible promissory notes and accrued interest some of which converted into shares of Series B Preferred Stock at a discounted price per share. false 23 0 0 0 false Querium Corp /s/ Kent A. Fuka Kent A. Fuka Chief Executive Officer 2017-01-17