0001140361-15-036424.txt : 20151001 0001140361-15-036424.hdr.sgml : 20151001 20151001133157 ACCESSION NUMBER: 0001140361-15-036424 CONFORMED SUBMISSION TYPE: D/A PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20151001 DATE AS OF CHANGE: 20151001 EFFECTIVENESS DATE: 20151001 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/A SEC ACT: 1933 Act SEC FILE NUMBER: 021-241374 FILM NUMBER: 151136418 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/A 1 primary_doc.xml X0707 D/A 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 c/o Life Image Inc. One Gateway Center, Suite 200 Newton MA MASSACHUSETTS 02458 Executive Officer Director Mr. Tabatabaie is the President and Chief Executive Officer of the Issuer. Will Cowen c/o Long River Ventures II, L.P. 100 Venture Way, Suite 4 Hadley MA MASSACHUSETTS 01035 Director Thomas G. 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 Lisa Sanderson c/o Life Image Inc. One Gateway Center, Suite 200 Newton MA MASSACHUSETTS 02458 Executive Officer Ms. Sanderson is the Vice President of Finance of the Issuer. Dusty Lieb c/o Cambia Health Solutions 100 SW Market St., M/S WW3-30 Portland OR OREGON 97201 Director Computers Decline to Disclose 06b true 0001140361-15-023628 2015-05-27 false true true Series B Preferred Stock false 0 None None Oppenheimer & Co. Inc. 249 85 BROAD STREET 22ND, 24TH FLOORS NEW YORK NY NEW YORK 10004 All States false 22956798 22706798 250000 false 14 1400000 0 0 false Life Image Inc. /s/ Hamid Tabatabaie /s/ Hamid Tabatabaie President & Chief Executive Officer of the Issuer 2015-10-01