0001562596-13-000001.txt : 20130111
0001562596-13-000001.hdr.sgml : 20130111
20130111153156
ACCESSION NUMBER: 0001562596-13-000001
CONFORMED SUBMISSION TYPE: D
PUBLIC DOCUMENT COUNT: 1
ITEM INFORMATION: Rule 506
FILED AS OF DATE: 20130111
DATE AS OF CHANGE: 20130111
EFFECTIVENESS DATE: 20130111
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: 021-190056
FILM NUMBER: 13525383
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
2013-01-09
false
true
true
false
5000
500000
200000
300000
CONVERTIBLE PROMISSORY NOTES AND WARRANTS
false
2
0
0
NONE
100000
true
false
E-HEALTH RECORDS INTERNATIONAL, INC.
ROBERT R. TUFTS
ROBERT R. TUFTS
ATTORNEY-IN-FACT FOR ISSUER
2013-01-11