0000905718-16-001454.txt : 20160520 0000905718-16-001454.hdr.sgml : 20160520 20160520140912 ACCESSION NUMBER: 0000905718-16-001454 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20160520 DATE AS OF CHANGE: 20160520 EFFECTIVENESS DATE: 20160520 FILER: COMPANY DATA: COMPANY CONFORMED NAME: MediQuire, Inc. CENTRAL INDEX KEY: 0001674060 IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-263598 FILM NUMBER: 161665699 BUSINESS ADDRESS: STREET 1: 333 WEST 39TH STREET, SUITE 1101 CITY: NEW YORK STATE: NY ZIP: 10018 BUSINESS PHONE: 857-488-0863 MAIL ADDRESS: STREET 1: 333 WEST 39TH STREET, SUITE 1101 CITY: NEW YORK STATE: NY ZIP: 10018 D 1 primary_doc.xml X0707 D LIVE 0001674060 MediQuire, Inc. 333 WEST 39TH STREET, SUITE 1101 NEW YORK NY NEW YORK 10018 857-488-0863 DELAWARE None None Corporation true 2013 Klaus Koenigshausen c/o 333 West 39th Street Suite 1101 New York NY NEW YORK 10018 Executive Officer Director Cathrin Stickley c/o 333 West 39th Street Suite 1101 New York NY NEW YORK 10018 Director Bryan Grulke c/o 333 West 39th Street Suite 1101 New York NY NEW YORK 10018 Director Matthew A. King c/o 333 West 39th Street Suite 1101 New York NY NEW YORK 10018 Director H. Ray Welch c/o 333 West 39th Street Suite 1101 New York NY NEW YORK 10018 Director Other Technology Decline to Disclose 06b false 2016-04-04 false true true Series A Preferred Stock and Warrants false 0 5375344 4875348 499996 Includes conversion of certain indebtedness false 16 0 0 0 true Some of the proceeds may be used for general working capital purposes which may include the payment of salaries and other fees to those listed in Item 3. false MediQuire, Inc. /s/ Klaus Koenigshausen Klaus Koenigshausen Chief Executive Officer 2016-05-20