0001140361-12-033124.txt : 20120713 0001140361-12-033124.hdr.sgml : 20120713 20120713163838 ACCESSION NUMBER: 0001140361-12-033124 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: Rule 506 FILED AS OF DATE: 20120713 DATE AS OF CHANGE: 20120713 EFFECTIVENESS DATE: 20120713 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: 021-181239 FILM NUMBER: 12962168 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 X0706 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 Director 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 2012-06-29 false true true true true Promissory note, underlying warrants and securities to be issued upon exercise of warrants. false 0 4000000 500000 3500000 false 1 0 0 0 false NexGen Medical Systems Inc /s/ John Kucharczyk John Kucharczyk President and Chief Executive Officer 2012-07-13