0001369393-16-000003.txt : 20160104 0001369393-16-000003.hdr.sgml : 20160104 20160104151204 ACCESSION NUMBER: 0001369393-16-000003 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20160104 DATE AS OF CHANGE: 20160104 EFFECTIVENESS DATE: 20160104 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: 021-254412 FILM NUMBER: 161317857 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 49203 49203 0 false 5 0 0 0 false Relievant MedSystems Inc Alex DiNello Alex DiNello Chief Executive Officer 2015-12-30