0001213900-17-002281.txt : 20170314 0001213900-17-002281.hdr.sgml : 20170314 20170314141545 ACCESSION NUMBER: 0001213900-17-002281 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20170314 DATE AS OF CHANGE: 20170314 EFFECTIVENESS DATE: 20170314 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Trilysi Technologies Inc. CENTRAL INDEX KEY: 0001700582 IRS NUMBER: 811552125 STATE OF INCORPORATION: FL FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-282507 FILM NUMBER: 17687730 BUSINESS ADDRESS: STREET 1: 2900 NE 30TH STREET, SUITE 6H CITY: FORT LAUDERDALE STATE: FL ZIP: 33306 BUSINESS PHONE: 954-850-7750 MAIL ADDRESS: STREET 1: 2900 NE 30TH STREET, SUITE 6H CITY: FORT LAUDERDALE STATE: FL ZIP: 33306 D 1 primary_doc.xml X0707 D LIVE 0001700582 Trilysi Technologies Inc. 2900 NE 30TH STREET, SUITE 6H FORT LAUDERDALE FL FLORIDA 33306 954-850-7750 FLORIDA Intelimed Holdings, Inc. None Corporation true 2016 Michael Dressner c/o Trilysi Technologies Inc. 2900 NE 30th Street, Suite 6H Fort Lauderdale FL FLORIDA 33306 Executive Officer Director Ellen Weinstein c/o Trilysi Technologies Inc. 2900 NE 30th Street, Suite 6H Fort Lauderdale FL FLORIDA 33306 Director Jack Rosemarin c/o Trilysi Technologies Inc. 2900 NE 30th Street, Suite 6H Fort Lauderdale FL FLORIDA 33306 Director Victor Diorio c/o Trilysi Technologies Inc. 2900 NE 30th Street, Suite 6H Fort Lauderdale FL FLORIDA 33306 Director Other Decline to Disclose 06b false 2016-09-28 false true true true false 25000 152500 152500 0 Comprised of convertible promissory notes as follows (i) $62,500 maturing 9/28/2018 with warrants to purchase 187,500 shares of common stock ("Shares"), and (ii) $90,000 maturing 2/27/2019 with warrants to purchase 270,000 Shares. false 1 0 0 0 false Trilysi Technologies Inc. /s/ Michael Dressner Michael Dressner President 2017-03-14