0001209191-17-044353.txt : 20170707 0001209191-17-044353.hdr.sgml : 20170707 20170707155828 ACCESSION NUMBER: 0001209191-17-044353 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20170707 DATE AS OF CHANGE: 20170707 EFFECTIVENESS DATE: 20170707 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Ativa Medical Corp CENTRAL INDEX KEY: 0001475620 IRS NUMBER: 263653862 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-290223 FILM NUMBER: 17955220 BUSINESS ADDRESS: STREET 1: 1000 WESTGATE DRIVE STREET 2: SUITE 100 CITY: SAINT PAUL STATE: MN ZIP: 55114 BUSINESS PHONE: 651-503-9200 MAIL ADDRESS: STREET 1: 1000 WESTGATE DRIVE STREET 2: SUITE 100 CITY: SAINT PAUL STATE: MN ZIP: 55114 D 1 primary_doc.xml X0707 D LIVE 0001475620 Ativa Medical Corp 1000 Westgate Drive Suite 100 St. Paul MN MINNESOTA 55114 612-293-3993 DELAWARE None None Corporation true James M McNally 1000 Westgate Drive Suite 100 St. Paul MN MINNESOTA 55114 Executive Officer Director David W Deetz 1000 Westgate Drive Suite 100 St. Paul MN MINNESOTA 55114 Executive Officer Director James B Stake 1000 Westgate Drive Suite 100 St. Paul MN MINNESOTA 55114 Director Barbara E Roth 1000 Westgate Drive Suite 100 St. Paul MN MINNESOTA 55114 Executive Officer Mark Bagnall 1000 Westgate Drive Suite 100 St. Paul MN MINNESOTA 55114 Director Dale A Wahlstrom 1000 Westgate Drive Suite 100 St. Paul MN MINNESOTA 55114 Director Travis L Murphy 1000 Westgate Drive Suite 100 St. Paul MN MINNESOTA 55114 Executive Officer Jiang Zhang 1000 Westgate Drive Suite 100 St. Paul MN MINNESOTA 55114 Director Jon Meltzer 1000 Westgate Drive Suite 100 St. Paul MN MINNESOTA 55114 Director Other Technology Decline to Disclose 06b false 2017-06-23 false true false 0 20000002 9500000 10500002 false 2 0 0 0 false Ativa Medical Corp /s/ James M. McNally James M. McNally President 2017-07-07