0001463845-11-000003.txt : 20110512 0001463845-11-000003.hdr.sgml : 20110512 20110512133712 ACCESSION NUMBER: 0001463845-11-000003 CONFORMED SUBMISSION TYPE: D/A PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: Rule 506 FILED AS OF DATE: 20110512 DATE AS OF CHANGE: 20110512 EFFECTIVENESS DATE: 20110512 FILER: COMPANY DATA: COMPANY CONFORMED NAME: MedShape Solutions, Inc. CENTRAL INDEX KEY: 0001463845 IRS NUMBER: 260578145 STATE OF INCORPORATION: GA FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D/A SEC ACT: 1933 Act SEC FILE NUMBER: 021-157488 FILM NUMBER: 11835030 BUSINESS ADDRESS: STREET 1: 1575 NORTHSIDE DRIVE, NW STREET 2: SUITE 440 CITY: ATLANTA STATE: GA ZIP: 30318 BUSINESS PHONE: (404) 249-9155 MAIL ADDRESS: STREET 1: 1575 NORTHSIDE DRIVE, NW STREET 2: SUITE 440 CITY: ATLANTA STATE: GA ZIP: 30318 D/A 1 primary_doc.xml X0704 D/A LIVE 0001463845 MedShape Solutions, Inc. 1575 NORTHSIDE DRIVE, NW SUITE 440 ATLANTA GA GEORGIA 30318 (404) 249-9155 GEORGIA MedShape Merger Sub, Inc. None Corporation true 2007 James Kurt Jacobus 3120 Weston Place Atlanta GA GEORGIA 30327 Executive Officer Director Kenneth A. Gall 768 Springlake Lane, NW Atlanta GA GEORGIA 30318 Executive Officer Director Douglas J. Pacaccio 656 Sandberg Drive Sycamore IL ILLINOIS 60178 Director Gregory S. Dane 930 Tiverton Lane Alpharetta GA GEORGIA 30022 Director Paul F. Hills 18 Heron Lane Barrington IL ILLINOIS 60010 Director Thomas E. Hills 4 Marbury Lane Barrington Hills IL ILLINOIS 60010 Director Jack R. Blair 2330 Dogwood Meadows Cove Germantown TN TENNESSEE 38139 Director Jack C. Griffis 1133 Druid Lake Decatur GA GEORGIA 30033 Executive Officer Richard H. Leach 106 Gainesway Drive Woodstock 2Q GEORGIA 30189 Executive Officer James J. Lorenzo 7440 Richmond Way Cumming GA GEORGIA 30040 Executive Officer Becky J. Brown 15 Keystone Circle Newnan GA GEORGIA 30265 Executive Officer Biotechnology $1,000,001 - $5,000,000 06 true 0001463845-11-000002 2011-03-15 false true false 0 7000000 190978 6809022 false 4 0 0 0 false MedShape Solutions, Inc. J.Kurt Jacobus J. Kurt Jacobus Chairman, President and Chief Executive Officer 2011-05-12