0001274375-12-000001.txt : 20120626 0001274375-12-000001.hdr.sgml : 20120626 20120625181900 ACCESSION NUMBER: 0001274375-12-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: Rule 506 FILED AS OF DATE: 20120626 DATE AS OF CHANGE: 20120625 EFFECTIVENESS DATE: 20120626 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 SEC ACT: 1933 Act SEC FILE NUMBER: 021-180284 FILM NUMBER: 12925672 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 1 primary_doc.xml X0705 D LIVE 0001274375 PATIENTSAFE SOLUTIONS, INC. 5375 MIRA SORRENTO PLACE SUITE 500 SAN DIEGO CA CALIFORNIA 92121 (858) 746-3100 DELAWARE INTELLIDOT CORP Corporation true JAMES SWEENEY 5375 MIRA SORRENTO PLACE SUITE 500 SAN DIEGO CA CALIFORNIA 92121 Executive Officer Director PAUL SEKHRI 345 CALIFORNIA STREET SUITE 3300 SAN FRANCISCO CA CALIFORNIA 94104 Director LISA SUENNEN 21 TAMAL VISTA BOULEVARD SUITE 194 CORTE MADERA CA CALIFORNIA 94925 Director SHAWN ORR 5375 MIRA SORRENTO PLACE SUITE 500 SAN DIEGO CA CALIFORNIA 92121 Executive Officer SI LUO 5375 MIRA SORRENTO PLACE SUITE 500 SAN DIEGO CA CALIFORNIA 92121 Executive Officer RICK NORLING 5375 MIRA SORRENTO PLACE SUITE 500 SAN DIEGO CA CALIFORNIA 92121 Director CHRISTOPHER KERSEY 5375 MIRA SORRENTO PLACE SUITE 500 SAN DIEGO CA CALIFORNIA 92121 Director JOSEPH CONDURSO 5375 MIRA SORRENTO PLACE SUITE 500 SAN DIEGO CA CALIFORNIA 92121 Executive Officer Other Health Care Decline to Disclose 06 false 2012-06-07 false true true true false 0 12000063 5457523 6542540 Includes amounts receivable by the Company upon the exercise of warrants to purchase shares of the Company's preferred stock (assuming no net exercise). The warrants have not yet been exercised. false 3 0 0 0 false PATIENTSAFE SOLUTIONS, INC. /s/ JOSEPH CONDURSO JOSEPH CONDURSO PRESIDENT & CEO 2012-06-18