0001209191-17-039751.txt : 20170614 0001209191-17-039751.hdr.sgml : 20170614 20170614102833 ACCESSION NUMBER: 0001209191-17-039751 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20170614 DATE AS OF CHANGE: 20170614 EFFECTIVENESS DATE: 20170614 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: 021-288686 FILM NUMBER: 17910455 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 Edward Andrle 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 2017-05-24 false true true true Convertible Promissory Notes and Warrants false 0 6622000 5122000 1500000 false 13 0 0 0 false Respicardia, Inc. /s/ Timothy Hauch Timothy Hauch Chief Financial Officer 2017-06-14