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