0001140361-12-007292.txt : 20120213 0001140361-12-007292.hdr.sgml : 20120213 20120213152641 ACCESSION NUMBER: 0001140361-12-007292 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: Rule 506 FILED AS OF DATE: 20120213 DATE AS OF CHANGE: 20120213 EFFECTIVENESS DATE: 20120213 FILER: COMPANY DATA: COMPANY CONFORMED NAME: NexGen Medical Systems Inc CENTRAL INDEX KEY: 0001440574 IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-173369 FILM NUMBER: 12598742 BUSINESS ADDRESS: STREET 1: 1050 WEST NASA BOULEVARD STREET 2: SUITE 136 CITY: MELBOURNE STATE: FL ZIP: 32901 BUSINESS PHONE: 775-851-7337 MAIL ADDRESS: STREET 1: 1050 WEST NASA BOULEVARD STREET 2: SUITE 136 CITY: MELBOURNE STATE: FL ZIP: 32901 D 1 primary_doc.xml X0704 D LIVE 0001440574 NexGen Medical Systems Inc 1050 West NASA Boulevard Suite 136 Melbourne FL FLORIDA 32901 775-851-7337 DELAWARE None None Corporation true John Kucharcyzk 1050 West NASA Boulevard, Suite 136 Melbourne FL FLORIDA 32901 Executive Officer Richard Latchaw 1050 West NASA Boulevard, Suite 136 Melbourne FL FLORIDA 32901 Executive Officer Matthew Solar 1050 West NASA Boulevard, Suite 136 Melbourne FL FLORIDA 32901 Executive Officer Dino De Cicco 1050 West NASA Boulevard, Suite 136 Melbourne FL FLORIDA 32901 Executive Officer Jeff Havefeld 1050 West NASA Boulevard, Suite 136 Melbourne FL FLORIDA 32901 Executive Officer Rudy Mazzocchi 1050 West NASA Boulevard, Suite 136 Melbourne FL FLORIDA 32901 Director Cary Adams 1050 West NASA Boulevard, Suite 136 Melbourne FL FLORIDA 32901 Director Joel Braunstein 1050 West NASA Boulevard, Suite 136 Melbourne FL FLORIDA 32901 Director Other Health Care Decline to Disclose 06 false 2012-02-05 false true true false 0 40000 40000 0 Amount reported reflects the current fair market value of the securities underlying options issued under the Issuer's 2012 Non-Statutory Stock Option Plan false 1 0 0 0 false NexGen Medical Systems Inc /s/ John Kucharczyk John Kucharczyk Chief Executive Officer 2012-02-03