0001325768-17-000001.txt : 20170425 0001325768-17-000001.hdr.sgml : 20170425 20170425162945 ACCESSION NUMBER: 0001325768-17-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20170425 DATE AS OF CHANGE: 20170425 EFFECTIVENESS DATE: 20170425 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: 021-285465 FILM NUMBER: 17781414 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 Joe Kure 2367 Bering Drive San Jose CA CALIFORNIA 95131 Director Robert Wah 2367 Bering Drive San Jose CA CALIFORNIA 95131 Director Other Health Care Decline to Disclose 06b false 2017-03-28 false true true true false 0 2000000 534000 1466000 false 1 0 0 0 false Avantis Medical Systems Inc /s/ Anthony DiTonno Anthony DiTonno Chief Executive Officer 2017-04-25