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