0001537512-11-000001.txt : 20111221 0001537512-11-000001.hdr.sgml : 20111221 20111220175351 ACCESSION NUMBER: 0001537512-11-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: Rule 506 FILED AS OF DATE: 20111221 DATE AS OF CHANGE: 20111220 EFFECTIVENESS DATE: 20111221 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Magnolia Medical Technologies, Inc. CENTRAL INDEX KEY: 0001537512 IRS NUMBER: 453839245 STATE OF INCORPORATION: WA FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-170409 FILM NUMBER: 111272961 BUSINESS ADDRESS: STREET 1: 815 FIRST AVENUE, #140 CITY: SEATTLE STATE: WA ZIP: 98104 BUSINESS PHONE: (206) 418-6720 MAIL ADDRESS: STREET 1: 815 FIRST AVENUE, #140 CITY: SEATTLE STATE: WA ZIP: 98104 D 1 primary_doc.xml X0704 D LIVE 0001537512 Magnolia Medical Technologies, Inc. 815 FIRST AVENUE, #140 SEATTLE WA WASHINGTON 98104 (206) 418-6720 WASHINGTON None None Corporation true 2011 Gregory J Bullington c/o 815 First Avenue, #140 Seattle WA WASHINGTON 98104 Executive Officer Director Richard G Patton c/o 815 First Avenue, #140 Seattle WA WASHINGTON 98104 Executive Officer Director Other Technology Decline to Disclose 06 false 2011-11-08 false true false 0 1000000 165773 834227 false 4 0 0 34500 true false Magnolia Medical Technologies, Inc. /s/ Gregory J. Bullington Gregory J. Bullington President and CEO 2011-12-13