0001075779-15-000003.txt : 20151015 0001075779-15-000003.hdr.sgml : 20151015 20151015162817 ACCESSION NUMBER: 0001075779-15-000003 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20151015 DATE AS OF CHANGE: 20151015 EFFECTIVENESS DATE: 20151015 FILER: COMPANY DATA: COMPANY CONFORMED NAME: FZIOMED INC CENTRAL INDEX KEY: 0001075779 IRS NUMBER: 770442606 STATE OF INCORPORATION: CA FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-249460 FILM NUMBER: 151160365 BUSINESS ADDRESS: STREET 1: 231 BONETTI DRIVE CITY: SAN LUIS OBISPO STATE: CA ZIP: 93401 BUSINESS PHONE: 805-546-0610 MAIL ADDRESS: STREET 1: 231 BONETTI DRIVE CITY: SAN LUIS OBISPO STATE: CA ZIP: 93401 D 1 primary_doc.xml X0707 D LIVE 0001075779 FZIOMED INC 231 BONETTI DRIVE SAN LUIS OBISPO CA CALIFORNIA 93401 805-546-0610 CALIFORNIA None None Corporation true John Krelle 231 Bonetti Drive San Luis Obispo CA CALIFORNIA 93401 Executive Officer Director Ronald F. Haynes 231 Bonetti Drive San Luis Obispo CA CALIFORNIA 93401 Director James R. Peters 231 Bonetti Drive San Luis Obispo CA CALIFORNIA 93401 Director Kevin K. Sidow 231 Bonetti Drive San Luis Obispo CA CALIFORNIA 93401 Director Daniel R. Doiron 231 Bonetti Drive San Luis Obispo CA CALIFORNIA 93401 Director Tracy Augustine 231 Bonetti Drive San Luis Obispo CA CALIFORNIA 93401 Director Other Health Care Decline to Disclose 06b false 2015-09-30 false true true false 0 6500000 6500000 0 false 1 0 0 0 false FZIOMED INC /s/ Steve Burt Steve Burt Vice President of Finance 2015-10-06