0001463845-12-000003.txt : 20120815 0001463845-12-000003.hdr.sgml : 20120815 20120815135610 ACCESSION NUMBER: 0001463845-12-000003 CONFORMED SUBMISSION TYPE: D/A PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: Rule 506 FILED AS OF DATE: 20120815 DATE AS OF CHANGE: 20120815 EFFECTIVENESS DATE: 20120815 FILER: COMPANY DATA: COMPANY CONFORMED NAME: MedShape, 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: 021-180501 FILM NUMBER: 121036561 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 FORMER COMPANY: FORMER CONFORMED NAME: MedShape Solutions, Inc. DATE OF NAME CHANGE: 20090511 D/A 1 primary_doc.xml X0706 D/A LIVE 0001463845 MedShape, Inc. 1575 NORTHSIDE DRIVE, NW SUITE 440 ATLANTA GA GEORGIA 30318 (404) 249-9155 GEORGIA MedShape Merger Sub, Inc. MedShape Solutions, Inc. 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 Porter School Road Barrington Hills IL ILLINOIS 60010 Director Jack R. Blair 2330 Dogwood Meadows Cove Germantown TN TENNESSEE 38139 Director Niles L. Noblitt 934 Flagship Drive Summerland Key FL FLORIDA 33042 Director Biotechnology $1,000,001 - $5,000,000 06 true 0001463845-12-000002 2012-06-18 false true false 0 8000000 2540627 5459373 false 4 0 0 0 false MedShape, Inc. J. Kurt Jacobus J. Kurt Jacobus Chairman, President and Chief Executive Officer 2012-08-15