0001448897-12-000004.txt : 20121016 0001448897-12-000004.hdr.sgml : 20121016 20121016122914 ACCESSION NUMBER: 0001448897-12-000004 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: Rule 506 FILED AS OF DATE: 20121016 DATE AS OF CHANGE: 20121016 EFFECTIVENESS DATE: 20121016 FILER: COMPANY DATA: COMPANY CONFORMED NAME: MindChild Medical, Inc CENTRAL INDEX KEY: 0001448897 IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-185617 FILM NUMBER: 121145725 BUSINESS ADDRESS: STREET 1: 1600 Osgood Street CITY: North Andover STATE: MA ZIP: 01845 BUSINESS PHONE: 978-521-0847 MAIL ADDRESS: STREET 1: 1600 Osgood Street CITY: North Andover STATE: MA ZIP: 01845 D 1 primary_doc.xml X0706 D LIVE 0001448897 MindChild Medical, Inc 1600 Osgood Street Suite 2-17 North Andover MA MASSACHUSETTS 01845 978-521-0847 DELAWARE None None Corporation true 2008 James K Robertson c/o MindChild Medical Inc 1600 Osgood Street Suite 2-17 North Andover MA MASSACHUSETTS 01845 Executive Officer Director Michael Carpenter c/o MindChild Medical Inc 1600 Osgood Street Suite 2-17 North Andover MA MASSACHUSETTS 01845 Director Adam J Wolfberg c/o MindChild Medical Inc 1600 Osgood Street Suite 2-17 North Andover MA MASSACHUSETTS 01845 Director Jay Ward c/o MindChild Medical Inc 1600 Osgood Street Suite 2-17 North Andover MA MASSACHUSETTS 01845 Executive Officer Director Richard A Pierro Jr c/o MindChild Medical Inc 1600 Osgood Street Suite 2-17 North Andover MA MASSACHUSETTS 01845 Executive Officer Director Gari D Clifford c/o MindChild Medical Inc 1600 Osgood Street Suite 2-17 North Andover MA MASSACHUSETTS 01845 Director Other Health Care Decline to Disclose 06 false 2012-10-05 false true false 0 1000000 373080 626920 Sale of Series A-2 Convertible Preferred Stock false 6 0 0 0 false MindChild Medical, Inc /s/ James K Robertson James K Robertson Chief Operating Officer 2012-10-16