0001410930-14-000001.txt : 20140708 0001410930-14-000001.hdr.sgml : 20140708 20140707184130 ACCESSION NUMBER: 0001410930-14-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20140708 DATE AS OF CHANGE: 20140707 EFFECTIVENESS DATE: 20140708 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Reshape Medical, Inc. CENTRAL INDEX KEY: 0001410930 IRS NUMBER: 203387999 STATE OF INCORPORATION: DE FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-220514 FILM NUMBER: 14963868 BUSINESS ADDRESS: STREET 1: 100 CALLE IGLESIA CITY: SAN CLEMENTE STATE: CA ZIP: 92672 BUSINESS PHONE: (949) 429-6680 MAIL ADDRESS: STREET 1: 100 CALLE IGLESIA CITY: SAN CLEMENTE STATE: CA ZIP: 92672 D 1 primary_doc.xml X0707 D LIVE 0001410930 Reshape Medical, Inc. 100 CALLE IGLESIA SAN CLEMENTE CA CALIFORNIA 92672 (949) 429-6680 DELAWARE None None Corporation true Richard Thompson 100 Calle Iglesia San Clemente CA CALIFORNIA 92672 Executive Officer Director Kenneth Charhut 100 Calle Iglesia San Clemente CA CALIFORNIA 92672 Director Jeani Delagardelle 100 Calle Iglesia San Clemente CA CALIFORNIA 92672 Director David Milne 100 Calle Iglesia San Clemente CA CALIFORNIA 92672 Director Casey Tansey 100 Calle Iglesia San Clemente CA CALIFORNIA 92672 Director John Lehmann, M.D. 100 Calle Iglesia San Clemente CA CALIFORNIA 92672 Director Bruce Feuchter 660 Newport Center Drive #1600 Newport Beach CA CALIFORNIA 92660 Executive Officer James Adox 100 Calle Iglesia San Clemente CA CALIFORNIA 92672 Director Biotechnology Decline to Disclose 06b false 2014-06-24 false true true true false 0 4000000 4000000 0 false 7 0 0 0 false Reshape Medical, Inc. /s/: Bruce Feuchter Bruce Feuchter Secretary 2014-07-07