0001562596-14-000002.txt : 20140114 0001562596-14-000002.hdr.sgml : 20140114 20140113175416 ACCESSION NUMBER: 0001562596-14-000002 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20140114 DATE AS OF CHANGE: 20140113 EFFECTIVENESS DATE: 20140114 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: 021-209953 FILM NUMBER: 14525167 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 X0707 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 REUBEN WEINZVEG 6800 PALM AVE., SUITE K SEBASTOPOL CA CALIFORNIA 95472 Director Other Health Care $1 - $1,000,000 06b false 2013-12-06 false true true false 5000 1600000 1521803 78197 COMMON SHARES ISSUED UPON CONVERSION OF PROMISSORY NOTES, PLUS EARNED INTEREST, EXERCISE OF PREVIOUSLY GRANTED WARRANT RIGHTS, AND A $5,000 STOCK PURCHASE. false 13 0 0 NONE 0 true THIS IS A CONVERSION INTO COMMON STOCK OF FUNDS PREVIOUSLY INVESTED IN CONVERTIBLE PROMISSORY NOTES AND WARRANTS, REPORTED UNDER A PREVIOUSLY FILED FORM D-506. false E-HEALTH RECORDS INTERNATIONAL, INC. ROBERT R. TUFTS ROBERT R. TUFTS ATTORNEY-IN-FACT FOR ISSUER 2014-01-13