0001664984-16-000001.txt : 20160201 0001664984-16-000001.hdr.sgml : 20160201 20160201163220 ACCESSION NUMBER: 0001664984-16-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20160201 DATE AS OF CHANGE: 20160201 EFFECTIVENESS DATE: 20160201 FILER: COMPANY DATA: COMPANY CONFORMED NAME: My Personal Health Record Express, Inc. CENTRAL INDEX KEY: 0001664984 IRS NUMBER: 271453084 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-256457 FILM NUMBER: 161377688 BUSINESS ADDRESS: STREET 1: 6573 LANDINGS COURT CITY: BOCA RATON STATE: FL ZIP: 33496 BUSINESS PHONE: 561-251-0301 MAIL ADDRESS: STREET 1: 6573 LANDINGS COURT CITY: BOCA RATON STATE: FL ZIP: 33496 D 1 primary_doc.xml X0707 D LIVE 0001664984 My Personal Health Record Express, Inc. 6573 LANDINGS COURT BOCA RATON FL FLORIDA 33496 561-251-0301 DELAWARE None None Corporation true Mahesh Uberoi My Personal Health Record Express, Inc. 6573 Landings Court Boca Raton FL FLORIDA 33496 Executive Officer Director Chetan Uberoy My Personal Health Record Express, Inc. 6573 Landings Court Boca Raton FL FLORIDA 33496 Executive Officer Director James Jay My Personal Health Record Express, Inc. 6573 Landings Court Boca Raton FL FLORIDA 33496 Director Nitin Doshi My Personal Health Record Express, Inc. 6573 Landings Court Boca Raton FL FLORIDA 33496 Director Madhu Uberoi My Personal Health Record Express, Inc. 6573 Landings Court Boca Raton FL FLORIDA 33496 Executive Officer Other Technology Decline to Disclose 06b false 2016-01-15 false true true true false 0 8080000 8080000 0 An Offering of shares of Series A Preferred Stock, at a purchase price of up to $8,080,000, consisting of cash and the conversion of a note. false 2 0 0 928900 true An amount to be used to redeem common stock held by certain directors/officers of the Company. false My Personal Health Record Express, Inc. s/ Mahesh Uberoi Mahesh Uberoi President 2016-02-01