0001288230-17-000021.txt : 20171212 0001288230-17-000021.hdr.sgml : 20171212 20171212152242 ACCESSION NUMBER: 0001288230-17-000021 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20171212 DATE AS OF CHANGE: 20171212 EFFECTIVENESS DATE: 20171212 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Skyline Medical Inc. CENTRAL INDEX KEY: 0001446159 STANDARD INDUSTRIAL CLASSIFICATION: ORTHOPEDIC, PROSTHETIC & SURGICAL APPLIANCES & SUPPLIES [3842] IRS NUMBER: 331007393 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-300541 FILM NUMBER: 171251662 BUSINESS ADDRESS: STREET 1: 2915 COMMERS DRIVE, STREET 2: SUITE 900 CITY: EAGAN STATE: MN ZIP: 55121 BUSINESS PHONE: 651-389-4800 MAIL ADDRESS: STREET 1: 2915 COMMERS DRIVE, STREET 2: SUITE 900 CITY: EAGAN STATE: MN ZIP: 55121 FORMER COMPANY: FORMER CONFORMED NAME: BioDrain Medical, Inc. DATE OF NAME CHANGE: 20080925 D 1 primary_doc.xml X0708 D LIVE 0001446159 Skyline Medical Inc. 2915 COMMERS DRIVE, SUITE 900 EAGAN MN MINNESOTA 55121 651-389-4800 DELAWARE BioDrain Medical, Inc. Corporation true 2013 Carl Schwartz 2915 Commers Drive Suite 900 Eagan MN MINNESOTA 55121 Executive Officer Director David Johnson 2915 Commers Drive Suite 900 Eagan MN MINNESOTA 55121 Executive Officer J Melville Engle 2915 Commers Drive Suite 900 Eagan MN MINNESOTA 55121 Director Richard L Gabriel 2915 Commers Drive Suite 900 Eagan MN MINNESOTA 55121 Director Timothy A Krochuk 2915 Commers Drive Suite 900 Eagan MN MINNESOTA 55121 Director Thomas McGoldrick 2915 Commers Drive Suite 900 Eagan MN MINNESOTA 55121 Director Bob Myers 2915 Commers Drive Suite 900 Eagan MN MINNESOTA 55121 Executive Officer Andrew Reding 2915 Commers Drive Suite 900 Eagan MN MINNESOTA 55121 Director Other Health Care Decline to Disclose 06b false 2017-11-28 false true true true false 1300000 David Weinstein 130645 Dawson James Securities, Inc. 130645 1 North Federal Highway Boca Raton FL FLORIDA 33432 NY NEW YORK false 1300000 1300000 0 false 1 104000 true 0 In addition to sales commissions, the broker/dealer received a warrant equal to 5% of the amount of the underlying common stock sold in the offering and a legal expense allowance of $5,000. 0 false Skyline Medical Inc. /s/ Bob Myers Bob Myers Chief Financial Officer and Secretary 2017-12-12