0001405061-11-000001.txt : 20110616
0001405061-11-000001.hdr.sgml : 20110616
20110615204742
ACCESSION NUMBER: 0001405061-11-000001
CONFORMED SUBMISSION TYPE: D
PUBLIC DOCUMENT COUNT: 1
ITEM INFORMATION: Rule 506
FILED AS OF DATE: 20110616
DATE AS OF CHANGE: 20110615
EFFECTIVENESS DATE: 20110616
FILER:
COMPANY DATA:
COMPANY CONFORMED NAME: Ortiva Wireless, Inc.
CENTRAL INDEX KEY: 0001405061
IRS NUMBER: 201627390
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: D
SEC ACT: 1933 Act
SEC FILE NUMBER: 021-161372
FILM NUMBER: 11913942
BUSINESS ADDRESS:
STREET 1: 4225 EXECUTIVE SQUARE
STREET 2: SUITE 700
CITY: LA JOLLA
STATE: CA
ZIP: 92037
BUSINESS PHONE: 858-704-1550
MAIL ADDRESS:
STREET 1: 4225 EXECUTIVE SQUARE
STREET 2: SUITE 700
CITY: LA JOLLA
STATE: CA
ZIP: 92037
FORMER COMPANY:
FORMER CONFORMED NAME: ORTIVA WIRELESS INC
DATE OF NAME CHANGE: 20070628
D
1
primary_doc.xml
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0001405061
Ortiva Wireless, Inc.
4225 EXECUTIVE SQUARE
SUITE 700
LA JOLLA
CA
CALIFORNIA
92037
858-704-1550
DELAWARE
ORTIVA WIRELESS INC
Corporation
true
Marc
Zionts
c/o Ortiva Wireless, Inc.
4225 Executive Square, Suite 700
La Jolla
CA
CALIFORNIA
92037
Executive Officer
Director
Sujit
Dey
c/o Ortiva Wireless, Inc.
4225 Executive Square, Suite 700
La Jolla
CA
CALIFORNIA
92037
Executive Officer
Director
Saurabh
Srivastava
c/o Artiman Ventures
2000 University Ave, Suite 602
Palo Alto
CA
CALIFORNIA
94303
Director
Edward
Alexander
c/o Mission Ventures
11455 El Camino Real, Suite 450
San Diego
CA
CALIFORNIA
92130
Director
David
Zilberman
c/o Comcast Interactive Capital
1701 John F. Kennedy Blvd., 55th Floor
Philadelphia
PA
PENNSYLVANIA
19103-2838
Director
Telecommunications
Decline to Disclose
- 06
false
2011-05-31
false
true
true
true
true
Securities offered consist of promissory notes convertible into preferred stock; warrants exercisable for preferred stock; and the underlying preferred and common stock issuable upon conversion or exercise thereof.
false
0
3786000
2500000
1286000
$1,286,000 of amount listed above under Total Offering Amount & Total Remaining to be Sold represent amounts receivable by the Issuer upon the issuance and exercise of warrants to purchase shares of preferred stock. Such warrants have not been exercised.
false
10
0
0
0
false
Ortiva Wireless, Inc.
Troy Noll
Troy Noll
VP, Finance
2011-06-15