-----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, U1LBWnIFZmGskU7+jArZhknzryA0JYnJo0Uff0ndWs4I20D7D1C7F4T2KpS5RHCr 1sbCfEn+b/x9cDhQpcajlA== 0001362687-09-000003.txt : 20090807 0001362687-09-000003.hdr.sgml : 20090807 20090807111416 ACCESSION NUMBER: 0001362687-09-000003 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: Rule 506 FILED AS OF DATE: 20090807 DATE AS OF CHANGE: 20090807 EFFECTIVENESS DATE: 20090807 FILER: COMPANY DATA: COMPANY CONFORMED NAME: SURGIQUEST INC CENTRAL INDEX KEY: 0001362687 IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-89923 FILM NUMBER: 09994031 BUSINESS ADDRESS: STREET 1: 12 CASCADE BOULEVARD CITY: ORANGE STATE: CT ZIP: 06477 BUSINESS PHONE: 2037992400 MAIL ADDRESS: STREET 1: 12 CASCADE BOULEVARD CITY: ORANGE STATE: CT ZIP: 06477 D 1 primary_doc.xml X0502 D LIVE 0001362687 SURGIQUEST INC 12 CASCADE BOULEVARD ORANGE CT 06477 2037992400 None DELAWARE Corporation true 2005 Kourosh Azarbarzin c/o Surgiquest, Inc. 12 Cascade Boulevard Orange CT 06477 Executive Officer Director Promoter "Promoter" is also selected because this "related person" is the founder of the issuer. Ned Scheetz c/o SurgiQuest, Inc. 12 Cascade Boulevard Orange CT 06477 Director Rodney Altman c/o SurgiQuest, Inc. 12 Cascade Boulevard Orange CT 06477 Director Joseph DeVivo c/o SurgiQuest, Inc. 12 Cascade Boulevard Orange CT 06477 Director Bruce Shook c/o SurgiQuest, Inc. 12 Cascade Boulevard Orange CT 06477 Director David Hildenbrand c/o SurgiQuest, Inc. 12 Cascade Boulevard Orange CT 06477 Executive Officer Vice President of Finance and Controller Carlos Babini c/o SurgiQuest, Inc. 12 Cascade Boulevard Orange CT 06477 Executive Officer Executive Vice President of Sales and Marketing Other Technology Decline to Disclose 06 false 2009-07-24 false true true true false 0 3333104 3333104 0 false 10 0 0 0 false SURGIQUEST INC /s/Merton G. Gollaher Merton G. Gollaher Secretary 2009-08-07 -----END PRIVACY-ENHANCED MESSAGE-----