-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, WN+WZv8pJQHnUv0MPrxrTqv1pRpXBkPum1ITDsfK/BQ3pWw9hkGAxuozMENPlNPw gHzSpMiWJJBerO9Xw36T3w== 0001136261-09-000039.txt : 20090129 0001136261-09-000039.hdr.sgml : 20090129 20090129181741 ACCESSION NUMBER: 0001136261-09-000039 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20090127 FILED AS OF DATE: 20090129 DATE AS OF CHANGE: 20090129 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: FAVRILLE INC CENTRAL INDEX KEY: 0001285701 STANDARD INDUSTRIAL CLASSIFICATION: BIOLOGICAL PRODUCTS (NO DIAGNOSTIC SUBSTANCES) [2836] IRS NUMBER: 330892797 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 2934 1/2 BEVERLY GLEN CIRCLE STREET 2: STE 702 CITY: LOS ANGELES STATE: CA ZIP: 90077 BUSINESS PHONE: 310 476 7002 MAIL ADDRESS: STREET 1: 2934 1/2 BEVERLY GLEN CIRCLE STREET 2: STE 702 CITY: LOS ANGELES STATE: CA ZIP: 90077 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: GARNER CAM L CENTRAL INDEX KEY: 0001024007 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-51134 FILM NUMBER: 09555566 BUSINESS ADDRESS: STREET 1: C/O SPIROS DEVELOPMENT CORP II INC STREET 2: 7475 LUSK BLVD CITY: SAN DIEGO STATE: CA ZIP: 92121 BUSINESS PHONE: 6194572553 MAIL ADDRESS: STREET 1: PO BOX 675866 CITY: RANCHO SANTE FE STATE: CA ZIP: 92067 4 1 primary_doc.xml PRIMARY DOCUMENT X0303 4 2009-01-27 0 0001285701 FAVRILLE INC FYRL.OB 0001024007 GARNER CAM L PO BOX 675866 RANCHO SANTE FE CA 92067 1 0 0 0 Warrant (right to buy) 0.12 2009-01-27 4 A 0 156548 0 A 2009-01-27 2014-01-26 Common Stock 156548 156548 D Received in lieu of $30,000 of director fees in accordance with the Creditor Plan, dated November 8, 2008 by and among Favrille, Inc., MyMedicalRecords, Inc. ("MMR") and Kershaw, Mackie & Co. as the administrative agent, prior to the closing of the business combination of Favrille, Inc. and MMR in which a subsidiary of Favrille, Inc. merged with and into MMR. s/ Tamara Seymour for Cam L. Garner 2009-01-28 -----END PRIVACY-ENHANCED MESSAGE-----