0001445426-11-000004.txt : 20111018 0001445426-11-000004.hdr.sgml : 20111018 20111018145304 ACCESSION NUMBER: 0001445426-11-000004 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: Rule 506 FILED AS OF DATE: 20111018 DATE AS OF CHANGE: 20111018 EFFECTIVENESS DATE: 20111018 FILER: COMPANY DATA: COMPANY CONFORMED NAME: CERVILENZ INC CENTRAL INDEX KEY: 0001445426 IRS NUMBER: 262375511 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-167477 FILM NUMBER: 111145585 BUSINESS ADDRESS: STREET 1: 100 N. MAIN STREET CITY: Chagrin Falls STATE: OH ZIP: 44023 BUSINESS PHONE: 440-337-4250 MAIL ADDRESS: STREET 1: 100 N. MAIN STREET CITY: Chagrin Falls STATE: OH ZIP: 44023 D 1 primary_doc.xml X0704 D LIVE 0001445426 CERVILENZ INC 100 N. MAIN STREET Chagrin Falls OH OHIO 44023 440-337-4250 DELAWARE None None Corporation true 2008 Federica O'Brien 100 N. Main Street Chagrin Falls OH OHIO 44023 Executive Officer Dean Koch 100 N. Main Street Chagrin Falls OH OHIO 44023 Executive Officer George Dunbar 4653 Sawgrass Dr. Ann Arbor MI MICHIGAN 48104 Director Koleman Karleski 1650 National City Tower Louisville KY KENTUCKY 40202 Director Timothy Petersen Petersen 303 Detroit Street Suite 301 Ann Arbor MI MICHIGAN 48104 Director Michael Ross 1142 Somera Road Los Angeles CA CALIFORNIA 90077 Director Eileen Maus 5 Red Oak Row Chester NJ NEW JERSEY 07930 Director Other Health Care Decline to Disclose 06 false 2011-02-28 false true false 37500 3475002 3475002 0 false 6 0 0 150000 true false CERVILENZ INC /s/ Jeffrey Cicarella Jeffrey Cicarella Attorney-in-fact 2011-10-18