0001423273-13-000004.txt : 20131230 0001423273-13-000004.hdr.sgml : 20131230 20131230125301 ACCESSION NUMBER: 0001423273-13-000004 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20131230 DATE AS OF CHANGE: 20131230 EFFECTIVENESS DATE: 20131230 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Nexis Vision, Inc. CENTRAL INDEX KEY: 0001423273 IRS NUMBER: 261555424 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-208919 FILM NUMBER: 131302121 BUSINESS ADDRESS: STREET 1: 191 JEFFERSON DRIVE CITY: MENLO PARK STATE: CA ZIP: 94025 BUSINESS PHONE: 650-325-2050 MAIL ADDRESS: STREET 1: 191 JEFFERSON DRIVE CITY: MENLO PARK STATE: CA ZIP: 94025 FORMER COMPANY: FORMER CONFORMED NAME: FORSIGHT VISION3 INC DATE OF NAME CHANGE: 20080109 D 1 primary_doc.xml X0707 D LIVE 0001423273 Nexis Vision, Inc. 191 JEFFERSON DRIVE MENLO PARK CA CALIFORNIA 94025 650-325-2050 DELAWARE FORSIGHT VISION3 INC Corporation true Paul Bernard Haffey c/o Nexis Vision, Inc. 191 Jefferson Drive Menlo Park CA CALIFORNIA 94025 Executive Officer Director Robert C. Bellas, Jr. c/o Nexis Vision, Inc. 191 Jefferson Drive Menlo Park CA CALIFORNIA 94025 Director Eugene de Juan, Jr., M.D. c/o Nexis Vision, Inc. 191 Jefferson Drive Menlo Park CA CALIFORNIA 94025 Director Hanson S. Gifford III c/o Nexis Vision, Inc. 191 Jefferson Drive Menlo Park CA CALIFORNIA 94025 Director William J. Link, Ph.D c/o Nexis Vision, Inc. 191 Jefferson Drive Menlo Park CA CALIFORNIA 94025 Director K. Angela Macfarlane c/o Nexis Vision, Inc. 191 Jefferson Drive Menlo Park CA CALIFORNIA 94025 Director Stephen Martin c/o Nexis Vision, Inc. 191 Jefferson Drive Menlo Park CA CALIFORNIA 94025 Director Other Health Care Decline to Disclose 06b false 2013-12-20 false true true false 0 750000 750000 0 false 3 0 0 0 false Nexis Vision, Inc. /s/ Paul Bernard Haffey Paul Bernard Haffey President & CEO 2013-12-29