0001369432-13-000003.txt : 20131216 0001369432-13-000003.hdr.sgml : 20131216 20131216124345 ACCESSION NUMBER: 0001369432-13-000003 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20131216 DATE AS OF CHANGE: 20131216 EFFECTIVENESS DATE: 20131216 FILER: COMPANY DATA: COMPANY CONFORMED NAME: APOLLO ENDOSURGERY INC CENTRAL INDEX KEY: 0001369432 IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-208035 FILM NUMBER: 131278391 BUSINESS ADDRESS: STREET 1: 1120 SOUTH CAPITAL OF TX HWY STREET 2: BUILDING 1 SUITE 300 CITY: AUSTIN STATE: TX ZIP: 78746 BUSINESS PHONE: 512 279 5100 MAIL ADDRESS: STREET 1: 1120 SOUTH CAPITAL OF TX HWY STREET 2: BUILDING 1 SUITE 300 CITY: AUSTIN STATE: TX ZIP: 78746 D 1 primary_doc.xml X0707 D LIVE 0001369432 APOLLO ENDOSURGERY INC 1120 SOUTH CAPITAL OF TX HWY BUILDING 1 SUITE 300 AUSTIN TX TEXAS 78746 512 279 5100 DELAWARE None None Corporation true Dennis L McWilliams c/o Apollo Endosurgery, Inc. 1120 S. Cap of TX Hwy, Bldg. 1, Ste 300 Austin TX TEXAS 78746 Executive Officer Director Matthew S Crawford c/o Apollo Endosurgery, inc. 1120 S. Cap of TX Hwy, Bldg. 1, Ste 300 Austin TX TEXAS 78746 Director Bruce Robertson c/o Apollo Endosurgery, Inc. 1120 S. Cap of TX Hwy, Bldg. 1, Ste 300 Austin TX TEXAS 78746 Director Michael J Doty c/o Apollo Endosurgery, Inc. 1120 S. Cap of TX Hwy, Bldg. 1, Ste 300 Austin TX TEXAS 78746 Executive Officer John W Creecy c/o Apollo Endosurgery, Inc. 1120 S. Cap of TX Hwy, Bldg. 1, Ste 300 Austin TX TEXAS 78746 Director Jack B Nielsen c/o Apollo Endosurgery, Inc. 1120 S. Cap of TX Hwy, Bldg. 1, Ste 300 Austin TX TEXAS 78746 Director R. Kent McGaughy, Jr. c/o Apollo Endosurgery, Inc. 1120 S. Cap of TX Hwy, Bldg. 1, Ste 300 Austin TX TEXAS 78746 Director Richard J Meelia c/o Apollo Endosurgery, Inc. 1120 S. Cap of TX Hwy, Bldg. 1, Ste 300 Austin TX TEXAS 78746 Director Rick Anderson c/o Apollo Endosurgery, Inc. 1120 S. Cap of TX Hwy, Bldg. 1, Ste 300 Austin TX TEXAS 78746 Director Biotechnology Decline to Disclose 06b false 2013-12-02 false true true true true (1) Series C Preferred Stock; Common Stock issuable upon conversion and (2) Warrant for Series C Preferred Stock; Series C Preferred Stock issuable upon exercise; Common Stock issuable upon conversion true The consideration for the shares purchased by one investor was paid by the transfer of assets and liabilities pursuant to the terms of a master purchase agreement between such investor and the Issuer. 0 63727392 60727392 3000000 The Total Offering Amount and Total Amount Sold above both include amounts which will be received if the warrant is fully exercised. false 11 0 0 0 true false APOLLO ENDOSURGERY INC /s/Dennis L. McWilliams Dennis L. McWilliams President 2013-12-11