0001368644-12-000005.txt : 20120515 0001368644-12-000005.hdr.sgml : 20120515 20120515110116 ACCESSION NUMBER: 0001368644-12-000005 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: Rule 506 FILED AS OF DATE: 20120515 DATE AS OF CHANGE: 20120515 EFFECTIVENESS DATE: 20120515 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Ingenious Med Inc CENTRAL INDEX KEY: 0001368644 IRS NUMBER: 582657504 STATE OF INCORPORATION: GA FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-178259 FILM NUMBER: 12841957 BUSINESS ADDRESS: STREET 1: 5660 NEW NORTHSIDE DRIVE STREET 2: SUITE 600 CITY: Atlanta STATE: GA ZIP: 30328 BUSINESS PHONE: 678-336-1714 MAIL ADDRESS: STREET 1: 5660 NEW NORTHSIDE DRIVE STREET 2: SUITE 600 CITY: Atlanta STATE: GA ZIP: 30328 D 1 primary_doc.xml X0705 D LIVE 0001368644 Ingenious Med Inc 5660 NEW NORTHSIDE DRIVE SUITE 600 Atlanta GA GEORGIA 30328 678-336-1714 GEORGIA None None Corporation true Steven Liu 649 Cypress Hills Drive Encindas CA CALIFORNIA 92014 Executive Officer Director S. Hart Williford 147 Straddlebridge Avenue Canton GA GEORGIA 30114 Executive Officer Director Michael G. Pickering 656 Glenwood Avenue Atlanta GA GEORGIA 30312 Executive Officer Mark B. Adams 5660 New Northside Drive Suite 600 Atlanta GA GEORGIA 30328 Executive Officer Mark Buffington 3321 Buckhead Forest Mews Atlanta GA GEORGIA 30305 Director Other Technology $5,000,001 - $25,000,000 06 false 2012-05-03 false true true true false 0 1300000 1300000 0 false 7 0 0 0 false Ingenious Med Inc Mark B. Adams Mark B. Adams CFO 2012-05-03