0001554795-17-000115.txt : 20170327 0001554795-17-000115.hdr.sgml : 20170327 20170327161619 ACCESSION NUMBER: 0001554795-17-000115 CONFORMED SUBMISSION TYPE: 4 PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20170306 FILED AS OF DATE: 20170327 DATE AS OF CHANGE: 20170327 ISSUER: COMPANY DATA: COMPANY CONFORMED NAME: TimefireVR Inc. CENTRAL INDEX KEY: 0000748268 STANDARD INDUSTRIAL CLASSIFICATION: SERVICES-PREPACKAGED SOFTWARE [7372] IRS NUMBER: 860490034 STATE OF INCORPORATION: NV FISCAL YEAR END: 1231 BUSINESS ADDRESS: STREET 1: 7600 E. REDFIELD RD. STREET 2: #100, BUILDING A CITY: SCOTTSDALE STATE: AZ ZIP: 85260 BUSINESS PHONE: 888-875-9928 MAIL ADDRESS: STREET 1: 7600 E. REDFIELD RD. STREET 2: #100, BUILDING A CITY: SCOTTSDALE STATE: AZ ZIP: 85260 FORMER COMPANY: FORMER CONFORMED NAME: EnergyTEK Corp. DATE OF NAME CHANGE: 20140723 FORMER COMPANY: FORMER CONFORMED NAME: BROADLEAF CAPITAL PARTNERS INC DATE OF NAME CHANGE: 20040928 FORMER COMPANY: FORMER CONFORMED NAME: BROADLEAF CAPITAL PARTNERS INC DATE OF NAME CHANGE: 20020503 REPORTING-OWNER: OWNER DATA: COMPANY CONFORMED NAME: Werner Lou III CENTRAL INDEX KEY: 0001682908 FILING VALUES: FORM TYPE: 4 SEC ACT: 1934 Act SEC FILE NUMBER: 000-31587 FILM NUMBER: 17715560 MAIL ADDRESS: STREET 1: 6900 E. CAMELBACK ROAD STREET 2: SUITE 1020 CITY: SCOTTSDALE STATE: AZ ZIP: 85251 4 1 tfvr0327form4werner.xml OWNERSHIP FORM TYPE 4 X0306 4 2017-03-06 0 0000748268 TimefireVR Inc. TFVR 0001682908 Werner Lou III 7600 E. REDFIELD ROAD SUITE 100, BUILDING A SCOTTSDALE AZ 85260 1 0 0 0 8% Senior Convertible Note 0.30 2017-03-06 4 A 0 100000 A 2017-09-03 Common Stock 333334 100000 D Warrants (Right to Buy) 0.35 2017-03-06 4 A 0 333334 A 2017-09-03 2022-09-03 Common Stock 333334 333334 D Not applicable. In connection with a $100,000 loan, the issuer issued the reporting person a 5% original issue discount senior convertible promissory note bearing interest at 8% annually which is convertible into shares of the issuer's common stock at $0.30 per share, subject to adjustment. The number of shares reported as securities underlying the convertible note do not include additional shares issuable upon conversion of accrued interest and certain repayment premiums. As additional consideration, the issuer issued the reported warrants to the reporting person. Lou Werner III 2017-03-27