0001181431-14-026416.txt : 20140708 0001181431-14-026416.hdr.sgml : 20140708 20140708141950 ACCESSION NUMBER: 0001181431-14-026416 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20140708 DATE AS OF CHANGE: 20140708 EFFECTIVENESS DATE: 20140708 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Respicardia, Inc. CENTRAL INDEX KEY: 0001447604 IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-220555 FILM NUMBER: 14965077 BUSINESS ADDRESS: STREET 1: 12400 WHITEWATER DRIVE STREET 2: SUITE 150 CITY: MINNETONKA STATE: MN ZIP: 55343 BUSINESS PHONE: 952-540-4470 MAIL ADDRESS: STREET 1: 12400 WHITEWATER DRIVE STREET 2: SUITE 150 CITY: MINNETONKA STATE: MN ZIP: 55343 FORMER COMPANY: FORMER CONFORMED NAME: CARDIAC CONCEPTS INC DATE OF NAME CHANGE: 20081009 D 1 primary_doc.xml X0707 D LIVE 0001447604 Respicardia, Inc. 12400 Whitewater Drive Suite 150 Minnetonka MN MINNESOTA 55343 952-540-4470 DELAWARE Cardiac Concepts, Inc. CARDIAC CONCEPTS INC Corporation true Timothy Hauch 12400 Whitewater Drive Suite 150 Minnetonka MN MINNESOTA 55343 Executive Officer Bonnie Labosky 12400 Whitewater Dive Suite 150 Minnetonka MN MINNESOTA 55343 Executive Officer Director Scott Ward 12400 Whitewater Dive Suite 150 Minnetonka MN MINNESOTA 55343 Director Wilf Jaeger 12400 Whitewater Dive Suite 150 Minnetonka MN MINNESOTA 55343 Director B. Kristine Johnson 12400 Whitewater Dive Suite 150 Minnetonka MN MINNESOTA 55343 Director William Abraham 12400 Whitewater Dive Suite 150 Minnetonka MN MINNESOTA 55343 Director Kirk Nielsen 12400 Whitewater Dive Suite 150 Minnetonka MN MINNESOTA 55343 Director Thomas Weldon 12400 Whitewater Dive Suite 150 Minnetonka MN MINNESOTA 55343 Director Other Health Care Decline to Disclose 06b false 2014-06-27 false true true true Convertible Promissory Notes false 0 2500000 2003994 496006 false 12 0 0 0 true Respicardia, Inc. /s/ Timothy Hauch Timothy Hauch Chief Financial Officer 2014-07-08