0001562596-12-000001.txt : 20121121 0001562596-12-000001.hdr.sgml : 20121121 20121120183805 ACCESSION NUMBER: 0001562596-12-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: Rule 506 FILED AS OF DATE: 20121121 DATE AS OF CHANGE: 20121120 EFFECTIVENESS DATE: 20121121 FILER: COMPANY DATA: COMPANY CONFORMED NAME: E-HEALTH RECORDS INTERNATIONAL, INC. CENTRAL INDEX KEY: 0001562596 IRS NUMBER: 300748505 STATE OF INCORPORATION: CA FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-187332 FILM NUMBER: 121219207 BUSINESS ADDRESS: STREET 1: 6800 PALM AVE., SUITE K CITY: SEBASTOPOL STATE: CA ZIP: 95472 BUSINESS PHONE: 707-824-0882 MAIL ADDRESS: STREET 1: 6800 PALM AVE., SUITE K CITY: SEBASTOPOL STATE: CA ZIP: 95472 D 1 primary_doc.xml X0706 D LIVE 0001562596 E-HEALTH RECORDS INTERNATIONAL, INC. 6800 PALM AVE., SUITE K SEBASTOPOL CA CALIFORNIA 95472 707-824-0882 CALIFORNIA None None Corporation true 2012 DAN D SMITH 6800 PALM AVE., SUITE K SEBASTOPOL CA CALIFORNIA 95472 Executive Officer Director Promoter JAMES K GUDE 6800 PALM AVE., SUITE K SEBASTOPOL CA CALIFORNIA 95472 Director JOHN B STUPPIN 6800 PALM AVE., SUITE K SEBASTOPOL CA CALIFORNIA 95472 Executive Officer Director NICHOLAS D SMITH 6800 PALM AVE., SUITE K SEBASTOPOL CA CALIFORNIA 95472 Promoter JAMES BEYERS 6800 PALM AVE., SUITE K SEBASTOPOL CA CALIFORNIA 95472 Director ARTHUR GRUEN 6800 PALM AVE., SUITE K SEBASTOPOL CA CALIFORNIA 95472 Director Other Health Care $1 - $1,000,000 06 false 2012-11-06 false true false 5000 1000000 1000000 0 INTELLECTUAL PROPERTY RIGHTS AND SOFTWARE TRANSFERRED TO ISSUER false 2 0 0 NONE 0 USER RECEIVED ONLY INTELLECTUAL PROPERTY RIGHTS AND SOFTWARE FROM THE TWO FOUNDERS RECEIVING COMMON STOCK IN THIS OFFERING false E-HEALTH RECORDS INTERNATIONAL, INC. Robert R. Tufts ROBERT R. TUFTS ATTORNEY-IN-FACT FOR ISSUER 2012-11-20