-----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, K5h0GV0YH4dkbjEWJZBjYGTQzUC9Vm96pGI6fNJFk60YutGgAODN7ngHzeYe4svy 73t08CCD35amHz10nNNQKw== 0001104659-10-033140.txt : 20100609 0001104659-10-033140.hdr.sgml : 20100609 20100609154316 ACCESSION NUMBER: 0001104659-10-033140 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: Rule 506 FILED AS OF DATE: 20100609 DATE AS OF CHANGE: 20100609 EFFECTIVENESS DATE: 20100609 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Avantis Medical Systems Inc CENTRAL INDEX KEY: 0001325768 IRS NUMBER: 000000000 STATE OF INCORPORATION: CA FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-143217 FILM NUMBER: 10887203 BUSINESS ADDRESS: STREET 1: 263 SANTA ANA COURT CITY: SUNNYVALE STATE: CA ZIP: 94085 BUSINESS PHONE: 408-733-1901 MAIL ADDRESS: STREET 1: 263 SANTA ANA COURT CITY: SUNNYVALE STATE: CA ZIP: 94085 D 1 primary_doc.xml X0704 D LIVE 0001325768 Avantis Medical Systems Inc 263 Santa Ana Court Sunnyvale CA CALIFORNIA 94085 408-733-1901 CALIFORNIA None None Corporation true Scott Dodson 263 Santa Ana Court Sunnyvale CA CALIFORNIA 94085 Executive Officer Director Thomas J. Fogarty 263 Santa Ana Court Sunnyvale CA CALIFORNIA 94085 Director Matthew Jenusaitis 263 Santa Ana Court Sunnyvale CA CALIFORNIA 94085 Director Camran Nezhat 263 Santa Ana Court Sunnyvale CA CALIFORNIA 94085 Director Howard Palefsky 263 Santa Ana Court Sunnyvale CA CALIFORNIA 94085 Director Fred R. Seddiqui 263 Santa Ana Court Sunnyvale CA CALIFORNIA 94085 Director Other Health Care Decline to Disclose 06 false 2010-06-01 false true true true false 25000 3500000 2131199 1368801 false 12 0 0 0 Funds to be used for working capital. false Avantis Medical Systems Inc /s/ Ann Coppel Ann Coppel Sr. Legal Assistant 2010-06-09 -----END PRIVACY-ENHANCED MESSAGE-----