0001354488-16-008570.txt : 20161121 0001354488-16-008570.hdr.sgml : 20161121 20161121150513 ACCESSION NUMBER: 0001354488-16-008570 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: Rosen Marvin S CENTRAL INDEX KEY: 0001318000 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 001-32421 FILM NUMBER: 162010143 MAIL ADDRESS: STREET 1: C/O FUSION TELECOMMUNICATIONS STREET 2: 420 LEXINGTON AVENUE SUITE 518 CITY: NEW YORK STATE: NY ZIP: 10170 4 1 issuerdirect_section16.xml PRIMARY DOCUMENT X0306 4 2016-11-16 0 0001071411 FUSION TELECOMMUNICATIONS INTERNATIONAL INC FSNN 0001318000 Rosen Marvin S C/O FUSION TELECOMMUNICATIONS 420 LEXINGTON AVENUE SUITE 1718 NEW YORK NY 10170 1 Common Stock 2016-11-16 4 P 0 195652 1.15 A 1117843 D Common Stock 25000 I By Wife Common Stock 1.21 2016-11-11 4 P 0 10000 0 A 2017-11-11 2026-11-11 Common Stock 10000 716869 D Shares held through a Delaware Trust Custodian IRA. Options vest on a pro-rata basis over 3 years. Includes 384,400 shares of Series B-2 Preferred, 1,201 shares of Series A Preferred and 314,268 warrants. /s/ Marvin S. Rosen 2016-11-21