0001325768-13-000001.txt : 20130308 0001325768-13-000001.hdr.sgml : 20130308 20130308144853 ACCESSION NUMBER: 0001325768-13-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: Rule 506 FILED AS OF DATE: 20130308 DATE AS OF CHANGE: 20130308 EFFECTIVENESS DATE: 20130308 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: 021-192988 FILM NUMBER: 13676874 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 X0706 D LIVE 0001325768 Avantis Medical Systems Inc 263 SANTA ANA COURT SUNNYVALE CA CALIFORNIA 94085 408-733-1901 CALIFORNIA None None Corporation true Anthony DiTonno 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 John Savarese 263 Santa Ana Court Sunnyvale CA CALIFORNIA 94085 Director Other Health Care Decline to Disclose 06 false 2013-02-28 false true true false 0 2000200 1245670 754530 false 2 0 0 0 false Avantis Medical Systems Inc /s/ Anthony DiTonno Anthony DiTonno Chief Executive Officer 2013-03-07