0001274375-17-000001.txt : 20170926 0001274375-17-000001.hdr.sgml : 20170926 20170926163125 ACCESSION NUMBER: 0001274375-17-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20170926 DATE AS OF CHANGE: 20170926 EFFECTIVENESS DATE: 20170926 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: 021-295436 FILM NUMBER: 171102444 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 X0708 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 Christopher Kitching c/o PatientSafe Solutions, Inc. 5375 Mira Sorrento Place, Suite 500 San Diego CA CALIFORNIA 92121 Director Jonathan Busch c/o PatientSafe Solutions, Inc. 5375 Mira Sorrento Place, Suite 500 San Diego CA CALIFORNIA 92121 Director John Kim c/o PatientSafe Solutions, Inc. 5375 Mira Sorrento Place, Suite 500 San Diego CA CALIFORNIA 92121 Director Joel Krikston c/o PatientSafe Solutions, Inc. 5375 Mira Sorrento Place, Suite 500 San Diego CA CALIFORNIA 92121 Director Siliang Luo c/o PatientSafe Solutions, Inc. 5375 Mira Sorrento Place, Suite 500 San Diego CA CALIFORNIA 92121 Executive Officer Director Loren Tarmo c/o PatientSafe Solutions, Inc. 5375 Mira Sorrento Place, Suite 500 San Diego CA CALIFORNIA 92121 Executive Officer Chris Stokes c/o PatientSafe Solutions, Inc. 5375 Mira Sorrento Place, Suite 500 San Diego CA CALIFORNIA 92121 Executive Officer Other Health Care Decline to Disclose 06b false 2017-09-12 true true false 0 Berkery, Noyes & Co., LLC None None None One Liberty Plaza 13th Floor New York NY NEW YORK 10006 CA CALIFORNIA false 19998927 14998927 5000000 false 1 620000 0 0 false PATIENTSAFE SOLUTIONS, INC. /s/ Loren Tarmo Loren Tarmo VP, Finance 2017-09-26