-----BEGIN PRIVACY-ENHANCED MESSAGE----- Proc-Type: 2001,MIC-CLEAR Originator-Name: webmaster@www.sec.gov Originator-Key-Asymmetric: MFgwCgYEVQgBAQICAf8DSgAwRwJAW2sNKK9AVtBzYZmr6aGjlWyK3XmZv3dTINen TWSM7vrzLADbmYQaionwg5sDW3P6oaM5D3tdezXMm7z1T+B+twIDAQAB MIC-Info: RSA-MD5,RSA, D6pW8pID0aZbCtR6P1uTL9IGXHyrduFWX+eG40dxz4Nl11bQZWwa55red/M+xyVF 4KudZfBB263plThh2Kzj2A== 0001181431-09-045433.txt : 20090929 0001181431-09-045433.hdr.sgml : 20090929 20090929151758 ACCESSION NUMBER: 0001181431-09-045433 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: Rule 506 FILED AS OF DATE: 20090929 DATE AS OF CHANGE: 20090929 EFFECTIVENESS DATE: 20090929 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Kips Bay Medical, Inc. CENTRAL INDEX KEY: 0001460198 IRS NUMBER: 208947689 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-129137 FILM NUMBER: 091092761 BUSINESS ADDRESS: STREET 1: 3405 ANNAPOLIS LANE CITY: MINNEAPOLIS STATE: MN ZIP: 55447 BUSINESS PHONE: 763-235-3540 MAIL ADDRESS: STREET 1: 3405 ANNAPOLIS LANE CITY: MINNEAPOLIS STATE: MN ZIP: 55447 D 1 primary_doc.xml X0603 D LIVE 0001460198 Kips Bay Medical, Inc. 3405 Annapolis Lane North Suite 200 Minneapolis MN 55447 763-235-3540 DELAWARE None None Corporation true 2007 Manny Villafana 3405 Annapolis Lane Suite 200 Minneapolis MN 55447 Executive Officer Director Michael Winegar 3405 Annapolis Lane Suite 200 Minneapolis MN 55447 Executive Officer Biotechnology Decline to Disclose 06 false true false true false 0 5000002 0 5000002 false 0 0 0 0 false Kips Bay Medical, Inc. /s/ Manny Villafana Manny Villafana Chief Executive Officer 2009-09-25 -----END PRIVACY-ENHANCED MESSAGE-----