0001362687-11-000004.txt : 20110406 0001362687-11-000004.hdr.sgml : 20110406 20110406114035 ACCESSION NUMBER: 0001362687-11-000004 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: Rule 506 FILED AS OF DATE: 20110406 DATE AS OF CHANGE: 20110406 EFFECTIVENESS DATE: 20110406 FILER: COMPANY DATA: COMPANY CONFORMED NAME: SURGIQUEST INC CENTRAL INDEX KEY: 0001362687 IRS NUMBER: 204678848 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-157910 FILM NUMBER: 11742363 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 X0704 D LIVE 0001362687 SURGIQUEST INC 12 CASCADE BOULEVARD ORANGE CT CONNECTICUT 06477 2037992400 DELAWARE None None Corporation true Kourosh Azarbarzin 12 Cascade Boulevard, Suite 2B Orange CT CONNECTICUT 06477 Executive Officer Director Promoter Ned Scheetz 12 Cascade Boulevard, Suite 2B Orange CT CONNECTICUT 06477 Director Rodney Altman 12 Cascade Boulevard, Suite 2B Orange CT CONNECTICUT 06477 Director Joseph DeVivo 12 Cascade Boulevard, Suite 2B Orange CT CONNECTICUT 06477 Director Bruce Shook 12 Cascade Boulevard, Suite 2B Orange CT CONNECTICUT 06477 Director J. Carter McNabb 12 Cascade Boulevard, Suite 2B Orange CT CONNECTICUT 06477 Director Other Technology Decline to Disclose 06 false 2011-03-22 false true true true false 0 19000002 11579926 7420076 false 16 0 0 0 true false SURGIQUEST INC Merton G. Gollaher Merton G. Gollaher Secretary 2011-04-06