0001325768-16-000004.txt : 20160817 0001325768-16-000004.hdr.sgml : 20160817 20160817124632 ACCESSION NUMBER: 0001325768-16-000004 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20160817 DATE AS OF CHANGE: 20160817 EFFECTIVENESS DATE: 20160817 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: 021-269095 FILM NUMBER: 161838040 BUSINESS ADDRESS: STREET 1: 2367 BERING DRIVE CITY: SAN JOSE STATE: CA ZIP: 95131 BUSINESS PHONE: 408-733-1901 MAIL ADDRESS: STREET 1: 2367 BERING DRIVE CITY: SAN JOSE STATE: CA ZIP: 95131 D 1 primary_doc.xml X0707 D LIVE 0001325768 Avantis Medical Systems Inc 2367 BERING DRIVE SAN JOSE CA CALIFORNIA 95131 408-733-1901 CALIFORNIA None None Corporation true Anthony DiTonno 2367 Bering Drive San Jose CA CALIFORNIA 95131 Executive Officer Director Camran Nezhat 2367 Bering Drive San Jose CA CALIFORNIA 95131 Director Daniel Turner III 2367 Bering Drive San Jose CA CALIFORNIA 95131 Director David Silverman 2367 Bering Drive San Jose CA CALIFORNIA 95131 Director Other Health Care Decline to Disclose 06b false 2015-09-29 false true true false 0 2000000 2000000 0 false 1 0 0 0 false Avantis Medical Systems Inc /s/ Anthony DiTonno Anthony DiTonno Chief Executive Officer 2016-08-17