0001071411-11-000055.txt : 20110914
0001071411-11-000055.hdr.sgml : 20110914
20110914155000
ACCESSION NUMBER: 0001071411-11-000055
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20110912
FILED AS OF DATE: 20110914
DATE AS OF CHANGE: 20110914
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: Brumberger E Alan
CENTRAL INDEX KEY: 0001317997
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-32421
FILM NUMBER: 111090566
MAIL ADDRESS:
STREET 1: C/O FUSION TELECOMMUNICATIONS
STREET 2: 420 LEXINGTON AVENUE SUITE 518
CITY: NEW YORK
STATE: NY
ZIP: 10170
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: FUSION TELECOMMUNICATIONS INTERNATIONAL INC
CENTRAL INDEX KEY: 0001071411
STANDARD INDUSTRIAL CLASSIFICATION: TELEPHONE COMMUNICATIONS (NO RADIO TELEPHONE) [4813]
IRS NUMBER: 582342021
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
BUSINESS ADDRESS:
STREET 1: 420 LEXINGTON AVENUE
STREET 2: SUITE 1718
CITY: NEW YORK
STATE: NY
ZIP: 10170
BUSINESS PHONE: (212) 201-2400
MAIL ADDRESS:
STREET 1: 420 LEXINGTON AVENUE
STREET 2: SUITE 1718
CITY: NEW YORK
STATE: NY
ZIP: 10170
4
1
primary_doc.xml
PRIMARY DOCUMENT
X0304
4
2011-09-12
0
0001071411
FUSION TELECOMMUNICATIONS INTERNATIONAL INC
FSNN
0001317997
Brumberger E Alan
C/O FUSION TELECOMMUNICATIONS
420 LEXINGTON AVENUE SUITE 1718
NEW YORK
NY
10170
1
0
0
0
Common Stock
2011-09-12
2011-09-12
4
P
0
277778
0.072
A
1681209
D
Warrant
0.09
2011-09-12
2011-09-12
4
P
0
83334
0.09
A
2011-09-12
2016-09-12
Common Stock
83334
432589
D
Amount includes (1) 2,995 warrants to purchase stock associated with Series A-1 Preferred Stock Warrants, and (2) 6,025 warrants to purchase stock associated with Series A-2 Preferred Stock Warrants.
/s/E. Alan Brumberger
2011-09-14