0001368644-13-000001.txt : 20130103 0001368644-13-000001.hdr.sgml : 20130103 20130103122429 ACCESSION NUMBER: 0001368644-13-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: Rule 506 FILED AS OF DATE: 20130103 DATE AS OF CHANGE: 20130103 EFFECTIVENESS DATE: 20130103 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: 021-189357 FILM NUMBER: 13505180 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 X0706 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 Buffington 3321 Buckhead Forest Mews Atlanta GA GEORGIA 30305 Director Thomas Givens 150 2nd Avenue North Suite 415 Nashville TN TENNESSEE 37201 Director Grant Jackson 150 2nd Avenue North Suite 415 Nashville TN TENNESSEE 37201 Director Mark Chapman 3445 Peachtree Road NE Suite 300 Atlanta GA GEORGIA 30326 Director Howard Morrison 5745 Ogeechee Road Savannah GA GEORGIA 31405-9557 Director Other Technology $5,000,001 - $25,000,000 06 false 2012-12-27 false true true true false 240000 1000000 1000000 0 false 3 0 0 0 false Ingenious Med Inc Hart Williford Hart Williford CEO 2013-01-03