0001619302-16-000002.txt : 20160125
0001619302-16-000002.hdr.sgml : 20160125
20160125125142
ACCESSION NUMBER: 0001619302-16-000002
CONFORMED SUBMISSION TYPE: D
PUBLIC DOCUMENT COUNT: 1
ITEM INFORMATION: 06b
FILED AS OF DATE: 20160125
DATE AS OF CHANGE: 20160125
EFFECTIVENESS DATE: 20160125
FILER:
COMPANY DATA:
COMPANY CONFORMED NAME: ConsortiEX Inc.
CENTRAL INDEX KEY: 0001619302
IRS NUMBER: 464313804
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: D
SEC ACT: 1933 Act
SEC FILE NUMBER: 021-255873
FILM NUMBER: 161358034
BUSINESS ADDRESS:
STREET 1: 300 BRICKSTONE SQUARE
STREET 2: SUITE 201
CITY: ANDOVER
STATE: MA
ZIP: 01810
BUSINESS PHONE: 9782892407
MAIL ADDRESS:
STREET 1: 300 BRICKSTONE SQUARE
STREET 2: SUITE 201
CITY: ANDOVER
STATE: MA
ZIP: 01810
D
1
primary_doc.xml
X0707
D
LIVE
0001619302
ConsortiEX Inc.
300 BRICKSTONE SQUARE
SUITE 201
ANDOVER
MA
MASSACHUSETTS
01810
9782892407
DELAWARE
None
None
Corporation
true
2013
Neal
K.
Long
c/o ConsortiEX Inc.
300 Brickstone Square, Suite 201
Andover
MA
MASSACHUSETTS
01810
Executive Officer
Director
Richard
Griffin
c/o ConsortiEX Inc.
300 Brickstone Square, Suite 201
Andover
MA
MASSACHUSETTS
01810
Director
Lyle
Hohnke
c/o ConsortiEX Inc.
300 Brickstone Square, Suite 201
Andover
MA
MASSACHUSETTS
01810
Director
Kevin
Lindsey
c/o ConsortiEX Inc.
300 Brickstone Square, Suite 201
Andover
MA
MASSACHUSETTS
01810
Director
Other Health Care
Decline to Disclose
- 06b
false
2015-12-15
false
true
Convertible Note and Warrant
false
0
750000
625000
125000
false
15
0
0
50000
true
Certain proceeds will be used by the Company for general working capital, including payment of salaries to certain executive officers and/or directors who are listed as Related Persons herein.
false
ConsortiEX Inc.
Neal K. Long
Neal K. Long
Chief Executive Officer
2016-01-25