0001523787-15-000002.txt : 20150916 0001523787-15-000002.hdr.sgml : 20150916 20150916162114 ACCESSION NUMBER: 0001523787-15-000002 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20150916 DATE AS OF CHANGE: 20150916 EFFECTIVENESS DATE: 20150916 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Niveus Medical, Inc. CENTRAL INDEX KEY: 0001523787 IRS NUMBER: 263584945 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-247776 FILM NUMBER: 151110510 BUSINESS ADDRESS: STREET 1: 101A SAGINAW DRIVE CITY: REDWOOD CITY STATE: CA ZIP: 94063 BUSINESS PHONE: (978) 505-1831 MAIL ADDRESS: STREET 1: 101A SAGINAW DRIVE CITY: REDWOOD CITY STATE: CA ZIP: 94063 D 1 primary_doc.xml X0707 D LIVE 0001523787 Niveus Medical, Inc. 101A SAGINAW DRIVE REDWOOD CITY CA CALIFORNIA 94063 (978) 505-1831 DELAWARE None None Corporation true Brian Fahey c/o Niveus Medical, Inc. 101A Saginaw Drive Redwood City CA CALIFORNIA 94063 Executive Officer Director Michael Kaplan c/o Niveus Medical, Inc. 101A Saginaw Drive Redwood City CA CALIFORNIA 94063 Director Jim Bochnowski c/o Niveus Medical, Inc. 101A Saginaw Drive Redwood City CA CALIFORNIA 94063 Director Erik Engelson c/o Niveus Medical, Inc. 101A Saginaw Drive Redwood City CA CALIFORNIA 94063 Director Matthew Weil c/o Niveus Medical, Inc. 101A Saginaw Drive Redwood City CA CALIFORNIA 94063 Director Alan Kramer c/o Niveus Medical, Inc. 101A Saginaw Drive Redwood City CA CALIFORNIA 94063 Director Other Health Care Decline to Disclose 06b false 2015-09-10 false true true true false 1 2499998 750000 1749998 false 1 0 0 0 false Niveus Medical, Inc. /s/ Brian Fahey Brian Fahey President 2015-09-16