0001619302-16-000003.txt : 20160908 0001619302-16-000003.hdr.sgml : 20160908 20160908135339 ACCESSION NUMBER: 0001619302-16-000003 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20160908 DATE AS OF CHANGE: 20160908 EFFECTIVENESS DATE: 20160908 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: 021-270294 FILM NUMBER: 161875685 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. 1000 N. Water Street Suite 950 Milwaukee WI WISCONSIN 53202 414-231-4575 DELAWARE None None Corporation true 2013 Neal K. Long c/o ConsortiEX Inc. 1000 N. Water Street, Suite 950 Milwaukee WI WISCONSIN 53202 Executive Officer Director Richard Griffin c/o ConsortiEX Inc. 1000 N. Water Street, Suite 950 Milwaukee WI WISCONSIN 53202 Director Kevin Lindsey c/o ConsortiEX Inc. 1000 N. Water Street, Suite 950 Milwaukee WI WISCONSIN 53202 Director Other Health Care Decline to Disclose 06b false 2016-05-18 false true false 0 3124989 2566102 558887 Includes principal and interest under convertible notes converted into shares of Series A Preferred Stock in connection with the initial closing of this private placement offering. false 19 0 0 175000 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 2016-09-07