0000950138-15-000320.txt : 20150508 0000950138-15-000320.hdr.sgml : 20150508 20150508145849 ACCESSION NUMBER: 0000950138-15-000320 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20150508 DATE AS OF CHANGE: 20150508 EFFECTIVENESS DATE: 20150508 FILER: COMPANY DATA: COMPANY CONFORMED NAME: ENDOSTIM, INC. CENTRAL INDEX KEY: 0001469166 STANDARD INDUSTRIAL CLASSIFICATION: ELECTROMEDICAL & ELECTROTHERAPEUTIC APPARATUS [3845] IRS NUMBER: 270373496 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-239475 FILM NUMBER: 15846132 BUSINESS ADDRESS: STREET 1: 4041 FOREST PARK AVENUE STREET 2: SUITE 220 CITY: ST. LOUIS STATE: MO ZIP: 63108 BUSINESS PHONE: 314-615-6347 MAIL ADDRESS: STREET 1: 4041 FOREST PARK AVENUE STREET 2: SUITE 220 CITY: ST. LOUIS STATE: MO ZIP: 63108 D 1 primary_doc.xml X0707 D LIVE 0001469166 ENDOSTIM, INC. 4041 FOREST PARK AVENUE SUITE 220 ST. LOUIS MO MISSOURI 63108 314-615-6347 DELAWARE None None Corporation true Bevil J. Hogg c/o EndoStim, Inc. 4041 Forest Park Avenue, Suite 220 St. Louis MO MISSOURI 63108 Executive Officer Director Raul E. Perez c/o EndoStim, Inc. 4041 Forest Park Avenue, Suite 220 St. Louis MO MISSOURI 63108 Director Virender K. Sharma c/o EndoStim, Inc. 4041 Forest Park Avenue, Suite 220 St. Louis MO MISSOURI 63108 Director Douglas D. French c/o EndoStim, Inc. 4041 Forest Park Avenue, Suite 220 St. Louis MO MISSOURI 63108 Director Fred C. Goad c/o EndoStim, Inc. 4041 Forest Park Avenue, Suite 220 St. Louis MO MISSOURI 63108 Director Peggy S. Stohr c/o EndoStim, Inc. 4041 Forest Park Avenue, Suite 220 St. Louis MO MISSOURI 63108 Executive Officer Jeffrey M. McDonnell c/o EndoStim, Inc. 4041 Forest Park Avenue, Suite 220 St. Louis MO MISSOURI 63108 Director Ralph G. Dacey c/o EndoStim, Inc. 4041 Forest Park Avenue, Suite 220 St. Louis MO MISSOURI 63108 Director Shai Policker c/o EndoStim, Inc. 4041 Forest Park Avenue, Suite 220 St. Louis MO MISSOURI 63108 Executive Officer Paul Goode c/o EndoStim, Inc. 4041 Forest Park Avenue, Suite 220 St. Louis MO MISSOURI 63108 Executive Officer Other Health Care Decline to Disclose 06b false 2015-05-07 false true false 2500003 4999995 2500003 2499992 false 1 0 0 0 false ENDOSTIM, INC. /s/ Peggy S. Stohr Peggy S. Stohr Chief Financial Officer 2015-05-07