0001475620-12-000003.txt : 20120124 0001475620-12-000003.hdr.sgml : 20120124 20120124113031 ACCESSION NUMBER: 0001475620-12-000003 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: Rule 506 FILED AS OF DATE: 20120124 DATE AS OF CHANGE: 20120124 EFFECTIVENESS DATE: 20120124 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: 021-172349 FILM NUMBER: 12541261 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 X0704 D LIVE 0001475620 Ativa Medical Corp 1000 WESTGATE DRIVE SUITE 100 SAINT PAUL MN MINNESOTA 55114 651-503-9200 DELAWARE None None Corporation true 2008 David W. Deetz 1000 Westgate Drive Suite 100 St. Paul MN MINNESOTA 55114 Executive Officer Director Robert S. Galen 1000 Westgate Drive Suite 100 St. Paul MN MINNESOTA 55114 Executive Officer Director Dennis J. McFadden 1000 Westgate Drive Suite 100 St. Paul MN MINNESOTA 55114 Executive Officer Tiffany P. Olson 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 Randall K. Seeliger 1000 Westgate Drive Suite 100 St. Paul MN MINNESOTA 55114 Executive Officer James B. Stake 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 Other Technology Decline to Disclose 06 false 2011-12-09 false true false 50000 5000000 275000 4725000 false 5 0 0 0 false Ativa Medical Corp /s/ Dennis J. McFadden Dennis J. McFadden CFO, VP - Corporate Development 2012-01-23