0001410930-17-000001.txt : 20170213 0001410930-17-000001.hdr.sgml : 20170213 20170213140049 ACCESSION NUMBER: 0001410930-17-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20170213 DATE AS OF CHANGE: 20170213 EFFECTIVENESS DATE: 20170213 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: 021-280573 FILM NUMBER: 17598007 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. 236 Avenida Fabricante SAN CLEMENTE CA CALIFORNIA 92672 (949) 429-6680 DELAWARE None None Corporation true Michael Mangano 236 Avenida Fabricante San Clemente CA CALIFORNIA 92672 Executive Officer Director Kenneth Charhut 236 Avenida Fabricante San Clemente CA CALIFORNIA 92672 Director Jeani Delagardelle 236 Avenida Fabricante San Clemente CA CALIFORNIA 92672 Director David Milne 236 Avenida Fabricante San Clemente CA CALIFORNIA 92672 Director Casey Tansey 236 Avenida Fabricante San Clemente CA CALIFORNIA 92672 Director John Lehmann, M.D. 236 Avenida Fabricante San Clemente CA CALIFORNIA 92672 Director Bruce Feuchter 660 Newport Center Drive #1600 Newport Beach CA CALIFORNIA 92660 Executive Officer Eric Milledge 236 Avenida Fabricante San Clemente CA CALIFORNIA 92672 Director Michael Mashaal 236 Avenida Fabricante San Clemente CA CALIFORNIA 92672 Director Biotechnology Decline to Disclose 06b false 2017-01-31 false true false 0 11000000 11000000 0 false 10 0 0 0 false Reshape Medical, Inc. /s/ Bruce Feuchter Bruce Feuchter Secretary 2017-02-13