0001362687-12-000001.txt : 20121011 0001362687-12-000001.hdr.sgml : 20121011 20121011124042 ACCESSION NUMBER: 0001362687-12-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: Rule 506 FILED AS OF DATE: 20121011 DATE AS OF CHANGE: 20121011 EFFECTIVENESS DATE: 20121011 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: 021-185363 FILM NUMBER: 121139575 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 X0706 D LIVE 0001362687 SURGIQUEST INC 12 CASCADE BOULEVARD ORANGE CT CONNECTICUT 06477 2037992400 DELAWARE None None Corporation true Kouroush 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 Sumeet Jain 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 Peter Weist 12 Cascade Boulevard, Suite 2B Orange CT CONNECTICUT 06477 Director Other Technology Decline to Disclose 06 false 2012-09-27 false true true true false 0 7775001 5000001 2775000 false 17 0 0 0 true false SURGIQUEST INC Merton Gollaher Merton Gollaher Secretary 2012-10-11