-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, Q2SlFWC43RACtLqn+1wtXyewf2fywP+XMhb3ZXeZSl1K5509c0X2/tCwvNdhnT7N RNU2V5rpXGvs8JldRoiSZw== 0001441373-10-000004.txt : 20100324 0001441373-10-000004.hdr.sgml : 20100324 20100323192316 ACCESSION NUMBER: 0001441373-10-000004 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: Rule 506 FILED AS OF DATE: 20100324 DATE AS OF CHANGE: 20100323 EFFECTIVENESS DATE: 20100324 FILER: COMPANY DATA: COMPANY CONFORMED NAME: EXAMWORKS INC CENTRAL INDEX KEY: 0001441373 IRS NUMBER: 261114252 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-120922 FILM NUMBER: 10700311 BUSINESS ADDRESS: STREET 1: 3280 PEACHTREE ROAD STREET 2: SUITE 2625 CITY: ATLANTA STATE: 2Q ZIP: 30305 BUSINESS PHONE: 404-952-2400 MAIL ADDRESS: STREET 1: 3280 PEACHTREE ROAD STREET 2: SUITE 2625 CITY: ATLANTA STATE: 2Q ZIP: 30305 D 1 primary_doc.xml X0603 D LIVE 0001441373 EXAMWORKS INC 3280 PEACHTREE ROAD SUITE 2625 ATLANTA 2Q 30305 404-952-2400 DELAWARE None None Corporation true 2007 Richard Perlman 655 Madison Ave 23rd Floor New York NY 10065 Executive Officer Director James K. Price 4418 Club Drive Atlanta GA 30319 Executive Officer Director J. Thomas Presby 655 Madison Avenue 23 Floor New York NY 10065 Director Wesley J. Campbell 3280 Peachtree Road Suite 2625 Atlanta GA 30305 Executive Officer J. Miguel Fernandez de Castro 3280 Peachtree Road Suite 2625 Atlanta GA 30305 Executive Officer Brian K. Denton 3280 Peachtree Road Suite 2625 Atlanta GA 30305 Executive Officer Kevin J. Kozlowski 3280 Peachtree Road Suite 2625 Atlanta GA 30305 Executive Officer Joshua W. LeMaire 3280 Peachtree Road Suite 2625 Atlanta GA 30305 Executive Officer Crystal B. Patmore 3280 Peachtree Road Suite 2625 Atlanta GA 30305 Executive Officer Other Health Care Decline to Disclose 06 false 2010-03-12 false true false 7979 N/A None Broadband Capital Management LLC 48001 712 Fifth Avenue 22nd Floor New York NY 10019 All States 32999968 12318932 20681036 The minimum offering amount was $4,999,981 and the maximum offering amount is $32,999,968. false 55 2969997 0 Based on max offering:(i) 7% fee and 2% non-accountable expense allowance which will be paid as $270,000 cash and balance in cash or shares of common stock and (ii) warrant to purchase that # of shares of common stock equal to 9% of total shares sold. 0 The Issuer will use proceeds for its acquisition program and general working capital purposes which includes payments to its executive officers and other employees in the ordinary course of business. false EXAMWORKS INC J. Miguel Fernandez de Castro J. Miguel Fernandez de Castro Chief Financial Officer 2010-03-18 -----END PRIVACY-ENHANCED MESSAGE-----