0001525316-13-000002.txt : 20131211 0001525316-13-000002.hdr.sgml : 20131211 20131211162652 ACCESSION NUMBER: 0001525316-13-000002 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20131211 DATE AS OF CHANGE: 20131211 EFFECTIVENESS DATE: 20131211 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Securus Medical Group, Inc. CENTRAL INDEX KEY: 0001525316 IRS NUMBER: 452613068 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-207832 FILM NUMBER: 131271200 BUSINESS ADDRESS: STREET 1: 15 SHOREBY DRIVE CITY: CLEVELAND STATE: OH ZIP: 44108 BUSINESS PHONE: 216-338-6412 MAIL ADDRESS: STREET 1: 15 SHOREBY DRIVE CITY: CLEVELAND STATE: OH ZIP: 44108 D 1 primary_doc.xml X0707 D LIVE 0001525316 Securus Medical Group, Inc. 10000 CEDAR AVENUE MAILSTOP #22 CLEVELAND OH OHIO 44106 216-658-5478 DELAWARE None None Corporation true 2011 Donna Richardson 15 Shoreby Drive Cleveland OH OHIO 44108 Executive Officer Director George Adaniya 1 Longbranch Ave Rockport MA MASSACHUSETTS 01966 Director John Garibotto 3 Beacon Heights Lane Marblehead MA MASSACHUSETTS 01945 Executive Officer Promoter Karen Spilizewski c/o RiverVest Venture Partners 11000 Cedar Avenue Cleveland OH OHIO 44106 Director Christopher Flaherty 242 Ipswich Road Topsfield MA MASSACHUSETTS 01983 Promoter Nicholas Walrod c/o 3x5 Special Opportunity Partners 2045 NE MLK Jr. Boulevard Portland OR OREGON 97212 Director Steven Girouard c/o Securus Medical Group, Inc. 10000 Cedar Avenue, Mailstop #22 Cleveland OH OHIO 44106 Executive Officer Director Biotechnology Decline to Disclose 06b false 2013-10-07 false true false 0 6500000 6500000 0 false 4 0 0 415000 false Securus Medical Group, Inc. /jmeaney/ Jessica Meaney Duly Authorized Attorney for the Company 2013-12-11