0001523787-16-000003.txt : 20161130 0001523787-16-000003.hdr.sgml : 20161130 20161130171512 ACCESSION NUMBER: 0001523787-16-000003 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20161130 DATE AS OF CHANGE: 20161130 EFFECTIVENESS DATE: 20161130 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: 021-275395 FILM NUMBER: 162026006 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 J. Fahey c/o Niveus Medical, Inc. 101A Saginaw Drive Redwood City CA CALIFORNIA 94063 Executive Officer Director James Bochnowski c/o Niveus Medical, Inc. 101A Saginaw Drive Redwood City CA CALIFORNIA 94063 Director Erik T. Engelson c/o Niveus Medical, Inc. 101A Saginaw Drive Redwood City CA CALIFORNIA 94063 Director Jeffrey Gold c/o Niveus Medical, Inc. 101A Saginaw Drive Redwood City CA CALIFORNIA 94063 Director Michael Kaplan 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 Matthew Weil c/o Niveus Medical, Inc. 101A Saginaw Drive Redwood City CA CALIFORNIA 94063 Director Other Health Care Decline to Disclose 06b false 2016-11-23 false true true false 1 3000000 525000 2475000 false 5 0 0 0 false Niveus Medical, Inc. /s/ Brian J. Fahey Brian J. Fahey President and CEO 2016-11-30