0001369393-15-000002.txt : 20151221 0001369393-15-000002.hdr.sgml : 20151221 20151221161802 ACCESSION NUMBER: 0001369393-15-000002 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20151221 DATE AS OF CHANGE: 20151221 EFFECTIVENESS DATE: 20151221 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Relievant MedSystems Inc CENTRAL INDEX KEY: 0001369393 IRS NUMBER: 203898502 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-253551 FILM NUMBER: 151299652 BUSINESS ADDRESS: STREET 1: 2688 MIDDLEFIELD ROAD STREET 2: SUITE A CITY: REDWOOD CITY STATE: CA ZIP: 94063 BUSINESS PHONE: 650-368-1000 MAIL ADDRESS: STREET 1: 2688 MIDDLEFIELD ROAD STREET 2: SUITE A CITY: REDWOOD CITY STATE: CA ZIP: 94063 D 1 primary_doc.xml X0707 D LIVE 0001369393 Relievant MedSystems Inc 2688 MIDDLEFIELD ROAD SUITE A REDWOOD CITY CA CALIFORNIA 94063 650-368-1000 DELAWARE None None Corporation true Alex DiNello 2688 Middlefield Road Suite A Redwood City CA CALIFORNIA 94063 Executive Officer Director Brent Ahrens 2688 Middlefield Road Suite A Redwood City CA CALIFORNIA 94063 Director Jason Lettman 2688 Middlefield Road Suite A Redwood City CA CALIFORNIA 94063 Director Richard Mott 2688 Middlefield Road Suite A Redwood City CA CALIFORNIA 94063 Director John Ryan 2688 Middlefield Road Suite A Redwood City CA CALIFORNIA 94063 Director Justin Klein 2688 Middlefield Road Suite A Redwood City CA CALIFORNIA 94063 Director Art Taylor 2688 Middlefield Road Suite A Redwood City CA CALIFORNIA 94063 Director Other Decline to Disclose 06b false 2015-12-18 false true false 0 3000000 1500000 1500000 false 5 0 0 0 false Relievant MedSystems Inc Alex DiNello Alex DiNello Chief Executive Officer 2015-12-21