0001354488-16-008572.txt : 20161121
0001354488-16-008572.hdr.sgml : 20161121
20161121150602
ACCESSION NUMBER: 0001354488-16-008572
CONFORMED SUBMISSION TYPE: 4
PUBLIC DOCUMENT COUNT: 1
CONFORMED PERIOD OF REPORT: 20161116
FILED AS OF DATE: 20161121
DATE AS OF CHANGE: 20161121
ISSUER:
COMPANY DATA:
COMPANY CONFORMED NAME: FUSION TELECOMMUNICATIONS INTERNATIONAL INC
CENTRAL INDEX KEY: 0001071411
STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-PREPACKAGED SOFTWARE [7372]
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
REPORTING-OWNER:
OWNER DATA:
COMPANY CONFORMED NAME: BLUM LAWRENCE H
CENTRAL INDEX KEY: 0000939616
FILING VALUES:
FORM TYPE: 4
SEC ACT: 1934 Act
SEC FILE NUMBER: 001-32421
FILM NUMBER: 162010144
MAIL ADDRESS:
STREET 1: C/O BANKUNITED FINANCIAL CORP
STREET 2: 255 ALHAMBRA CIRCLE
CITY: CORAL GABLES
STATE: FL
ZIP: 33134
4
1
issuerdirect_section16.xml
PRIMARY DOCUMENT
X0306
4
2016-11-16
0
0001071411
FUSION TELECOMMUNICATIONS INTERNATIONAL INC
FSNN
0000939616
BLUM LAWRENCE H
420 LEXINGTON AVENUE, SUITE 1718
NEW YORK
NY
10170
1
Common stock, par value $0.01 per share
2016-11-16
4
P
0
13044
1.15
A
40806
I
By Trust
Options
1.21
2016-11-16
4
P
0
10000
0
A
2017-11-11
2026-11-11
Common Stock
10000
32750
D
Owned by the Francine M. Blum Revocable Trust.
Options vest on a pro-rata basis over 3 years.
Includes 6,600 shares of Series B-2 Preferred Stock and 10,000 warrants.
/s/ Lawrence Blum
2016-11-21