0001623868-16-000004.txt : 20161005 0001623868-16-000004.hdr.sgml : 20161005 20161005135154 ACCESSION NUMBER: 0001623868-16-000004 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20161005 DATE AS OF CHANGE: 20161005 EFFECTIVENESS DATE: 20161005 FILER: COMPANY DATA: COMPANY CONFORMED NAME: MediaShift Holdings, Inc. CENTRAL INDEX KEY: 0001623868 IRS NUMBER: 472173126 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-271868 FILM NUMBER: 161921968 BUSINESS ADDRESS: STREET 1: 4500 CHERRY CREEK DRIVE SOUTH STREET 2: SUITE 550 CITY: GLENDALE STATE: CO ZIP: 80246 BUSINESS PHONE: 303.501.8860 MAIL ADDRESS: STREET 1: 4500 CHERRY CREEK DRIVE SOUTH STREET 2: SUITE 550 CITY: GLENDALE STATE: CO ZIP: 80246 D 1 primary_doc.xml X0707 D LIVE 0001623868 MediaShift Holdings, Inc. 4500 CHERRY CREEK DRIVE SOUTH SUITE 550 GLENDALE CO COLORADO 80246 303.501.8860 DELAWARE None None Corporation true 2014 Dan O'Brien 4500 Cherry Creek Drive South Suite 550 Glendale CO COLORADO 80246 Executive Officer Director Chief Executive Officer, President and Director Phil Weiser 4500 Cherry Creek Drive South Suite 550 Glendale CO COLORADO 80246 Director Director Darren Fisk 4500 Cherry Creek Drive South Suite 550 Glendale CO COLORADO 80246 Director Director Greg Smith 4500 Cherry Creek Drive South Suite 550 Glendale CO COLORADO 80246 Executive Officer Chief Operating Officer, Senior Vice President, Secretary and Assistant Treasurer Ben Ertischek 4500 Cherry Creek Drive South Suite 550 Glendale CO COLORADO 80246 Executive Officer Chief Financial Officer, Senior Vice President, Treasurer and Assistant Secretary Jim Bell 4500 Cherry Creek Drive South Suite 550 Glendale CO COLORADO 80246 Executive Officer Chief Revenue Officer and Vice President Mike Hayashi 4500 Cherry Creek Drive South Suite 550 Glendale CO COLORADO 80246 Executive Officer Chief Strategy Officer and Vice President Other Technology Decline to Disclose 06b false 2016-10-03 false true true true Convertible Promissory Note false 10000 12000000 2105000 9895000 false 29 0 0 0 false MediaShift Holdings, Inc. /s/ Ben Ertischek Ben Ertischek CFO, Senior V.P., Treasurer and Assistant Secretary 2016-10-05