0001213900-17-009706.txt : 20170915
0001213900-17-009706.hdr.sgml : 20170915
20170914205809
ACCESSION NUMBER: 0001213900-17-009706
CONFORMED SUBMISSION TYPE: D
PUBLIC DOCUMENT COUNT: 1
ITEM INFORMATION: 06b
FILED AS OF DATE: 20170915
DATE AS OF CHANGE: 20170914
EFFECTIVENESS DATE: 20170915
FILER:
COMPANY DATA:
COMPANY CONFORMED NAME: American Micro Detection Systems, Inc.
CENTRAL INDEX KEY: 0001524855
IRS NUMBER: 200298105
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: D
SEC ACT: 1933 Act
SEC FILE NUMBER: 021-294783
FILM NUMBER: 171086687
BUSINESS ADDRESS:
STREET 1: 2800 W. MARCH LANE
STREET 2: SUITE 200
CITY: STOCKTON
STATE: CA
ZIP: 95219
BUSINESS PHONE: 209-955-0172
MAIL ADDRESS:
STREET 1: 2800 W. MARCH LANE
STREET 2: SUITE 200
CITY: STOCKTON
STATE: CA
ZIP: 95219
D
1
primary_doc.xml
X0708
D
LIVE
0001524855
American Micro Detection Systems, Inc.
450 LINDBERGH
LIVERMORE
CA
CALIFORNIA
94551
209-985-1705
DELAWARE
None
None
Corporation
true
Robert
Floyd
Keville
450 Lindbergh
Livermore
CA
CALIFORNIA
94551
Executive Officer
Director
Daniel
D
Dietrich
450 Lindbergh
Livermore
CA
CALIFORNIA
94551
Executive Officer
Director
Chief Sales Officer
Paul
Ferreri
450 Lindbergh
Livermore
CA
CALIFORNIA
94551
Executive Officer
Chief of Staff
James
Woo
450 Lindbergh
Livermore
CA
CALIFORNIA
94551
Director
Damon
I
Woo
450 Lindbergh
Livermore
CA
CALIFORNIA
94551
Director
Greg
Gomez
450 Lindbergh
Livermore
CA
CALIFORNIA
94551
Director
Environmental Services
Decline to Disclose
- 06b
false
2017-08-31
false
true
true
true
Common Stock; Class D Warrant
false
52000
Forest Securities, Inc.
16255
None
None
105 WEST ADAMS STREET, SUITE 3700
CHICAGO
IL
ILLINOIS
60603
CA
CALIFORNIA
IL
ILLINOIS
OR
OREGON
SC
SOUTH CAROLINA
false
1040000
585000
455000
false
11
83500
0
Commission fees include: $25,000 as retainer for services; $58,500 as ten percent (10%) of gross proceeds raised in the financing; and Warrants to purchase ten percent (10%) of the total number of shares issued and issuable by the Issuer to Investors unde
0
false
American Micro Detection Systems, Inc.
/s/ Robert keville
Robert Keville
Chief Executive Officer
2011-09-14