0001140361-15-004233.txt : 20150205 0001140361-15-004233.hdr.sgml : 20150205 20150205114206 ACCESSION NUMBER: 0001140361-15-004233 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20150205 DATE AS OF CHANGE: 20150205 EFFECTIVENESS DATE: 20150205 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Life Image Inc. CENTRAL INDEX KEY: 0001459703 IRS NUMBER: 261793972 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-233553 FILM NUMBER: 15578761 BUSINESS ADDRESS: STREET 1: ONE GATEWAY CENTER STREET 2: SUITE 200 CITY: NEWTON STATE: MA ZIP: 02458 BUSINESS PHONE: 617.244.8411 MAIL ADDRESS: STREET 1: ONE GATEWAY CENTER STREET 2: SUITE 200 CITY: NEWTON STATE: MA ZIP: 02458 FORMER COMPANY: FORMER CONFORMED NAME: Life Image, Inc. DATE OF NAME CHANGE: 20090325 D 1 primary_doc.xml X0707 D LIVE 0001459703 Life Image Inc. ONE GATEWAY CENTER SUITE 200 NEWTON MA MASSACHUSETTS 02458 617.244.8411 DELAWARE None Life Image, Inc. Corporation true Hamid Tabatabaie One Gateway Center Suite 200 Newton MA MASSACHUSETTS 02458 Executive Officer Director Promoter William Cowen c/o Long River Ventures II, L.P. 100 Venture Way, Suite 4 Hadley MA MASSACHUSETTS 01035 Director Thomas McKinley c/o CHP III, L.P. 230 Nassau Street Princeton NJ NEW JERSEY 08542 Director David Jahns c/o Galen Partners V, L.P. 680 Washington Boulevard, 11th Floor Stamford CT CONNECTICUT 06901 Director Computers Decline to Disclose 06b false 2015-01-22 false true false 0 3000000 2571930 428070 false 6 0 0 0 false Life Image Inc. /s/ Hamid Tabatabaie Hamid Tabatabaie CEO 2015-02-05