0001455032-13-000003.txt : 20131002 0001455032-13-000003.hdr.sgml : 20131002 20131001173739 ACCESSION NUMBER: 0001455032-13-000003 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20131002 DATE AS OF CHANGE: 20131001 EFFECTIVENESS DATE: 20131002 FILER: COMPANY DATA: COMPANY CONFORMED NAME: COLLABORATIVE MEDICAL TECHNOLOGY Corp CENTRAL INDEX KEY: 0001455032 IRS NUMBER: 000000000 STATE OF INCORPORATION: DE FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-203846 FILM NUMBER: 131127875 BUSINESS ADDRESS: STREET 1: 15 PROSPECT STREET CITY: PARAMUS STATE: NJ ZIP: 07652 BUSINESS PHONE: 212-923-0090 MAIL ADDRESS: STREET 1: 15 PROSPECT STREET CITY: PARAMUS STATE: NJ ZIP: 07652 D 1 primary_doc.xml X0707 D LIVE 0001455032 COLLABORATIVE MEDICAL TECHNOLOGY Corp 15 Prospect Street Paramus NJ NEW JERSEY 07652 212-923-0090 DELAWARE Columbia Medical Technology Corporation None Corporation true Simon Schurr c/o Collaborative Medical Technology 15 Prospect Street Paramus NJ NEW JERSEY 07652 Executive Officer Director Udi Schurr c/o Collaborative Medical Technology 15 Prospect Street Paramus NJ NEW JERSEY 07652 Director David Barzillai c/o Collaborative Medical Technology 15 Prospect Street Paramus NJ NEW JERSEY 07652 Director George Grodentzik c/o Collaborative Medical Technology 15 Prospect Street Paramus NJ NEW JERSEY 07652 Director Other Technology Decline to Disclose 06b false 2013-09-17 false true false 0 752161 752161 0 false 3 0 0 0 false COLLABORATIVE MEDICAL TECHNOLOGY Corp /s/ Simon Schurr Simon Schurr President and CEO 2013-10-01