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