0001181431-14-034876.txt : 20141028 0001181431-14-034876.hdr.sgml : 20141028 20141028104351 ACCESSION NUMBER: 0001181431-14-034876 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20141028 DATE AS OF CHANGE: 20141028 EFFECTIVENESS DATE: 20141028 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: 021-227188 FILM NUMBER: 141176102 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 Wilfred 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 2014-10-20 false true false 0 Piper Jaffray & Co. 665 None None 800 Nicollet Mall Minneapolis MN MINNESOTA 55402 CO COLORADO false 25088847 25088847 0 Series D Preferred Stock purchased in cash or upon conversion of promissory notes false 14 1000000 0 0 true Respicardia, Inc. /s/ Timothy Hauch Timothy Hauch Chief Financial Officer 2014-10-28