-----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, ROzk8mJn7N/m+M8pTtPXDznG2HeMJWsOjgCwKI5/as1QctqkSMX90E4LO0wSdWto D+Oo+tporNSxbEOV3T7LTw== 0001274375-09-000007.txt : 20090902 0001274375-09-000007.hdr.sgml : 20090902 20090902154441 ACCESSION NUMBER: 0001274375-09-000007 CONFORMED SUBMISSION TYPE: D/A PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: Rule 506 ITEM INFORMATION: Securities Act Section 4(6) FILED AS OF DATE: 20090902 DATE AS OF CHANGE: 20090902 EFFECTIVENESS DATE: 20090902 FILER: COMPANY DATA: COMPANY CONFORMED NAME: PATIENTSAFE SOLUTIONS, INC. CENTRAL INDEX KEY: 0001274375 IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D/A SEC ACT: 1933 Act SEC FILE NUMBER: 021-61449 FILM NUMBER: 091050967 BUSINESS ADDRESS: STREET 1: 5375 MIRA SORRENTO PLACE STREET 2: SUITE 500 CITY: SAN DIEGO STATE: CA ZIP: 92121 BUSINESS PHONE: (858) 746-3100 MAIL ADDRESS: STREET 1: 5375 MIRA SORRENTO PLACE STREET 2: SUITE 500 CITY: SAN DIEGO STATE: CA ZIP: 92121 FORMER COMPANY: FORMER CONFORMED NAME: INTELLIDOT CORP DATE OF NAME CHANGE: 20031224 D/A 1 primary_doc.xml X0502 D/A LIVE 0001274375 PATIENTSAFE SOLUTIONS, INC. 5375 MIRA SORRENTO PLACE SUITE 500 SAN DIEGO CA 92121 (858) 746-3100 INTELLIDOT CORP DELAWARE Corporation true JAMES SWEENEY 5375 MIRA SORRENTO PLACE SUITE 500 SAN DIEGO CA 92121 Executive Officer Director DOUG CARLISLE 3000 SAND HILL ROAD, BLDG 4 SUITE 100 MENLO PARK CA 94025 Director LISA SUENNEN 21 TAMAL VISTA BOULEVARD SUITE 194 CORTE MADERA CA 94925 Director SHAWN M. ORR 5375 MIRA SORRENTO PLACE SUITE 500 SAN DIEGO CA 92121 Executive Officer CHAD J. PUTNAM 5375 MIRA SORRENTO PLACE SUITE 500 SAN DIEGO CA 92121 Executive Officer DAVID D. SWENSON 5375 MIRA SORRENTO PLACE SUITE 500 SAN DIEGO CA 92121 Executive Officer STEPHEN M. KRUPA 625 AVENUE OF THE AMERICAS FOURTH FLOOR NEW YORK NY 10011 Director RICK NORLING C/O 5375 MIRA SORRENTO PLACE SUITE 500 SAN DIEGO CA 92121 Director Other Health Care Decline to Disclose 06 46 true 0001274375-09-000004 2009-04-01 false true true true true true Securities offered consist of convertible preferred stock, promissory notes convertible into convertible preferred stock and common stock underlying the convertible preferred stock. false 0 24400288 6400281 18000007 INCLUDES AMOUNTS RECEIVABLE BY THE COMPANY UPON THE EXERCISE OF A WARRANT TO PURCHASE SHARES OF THE COMPANY'S PREFERRED STOCK (ASSUMING NO NET EXERCISE). THE WARRANT HAS NOT YET BEEN EXERCISED. false 34 0 0 0 false PATIENTSAFE SOLUTIONS, INC. /S/ JAMES M. SWEENEY JAMES M. SWEENEY PRESIDENT AND CEO 2009-09-01 -----END PRIVACY-ENHANCED MESSAGE-----