0001537512-12-000001.txt : 20121107 0001537512-12-000001.hdr.sgml : 20121107 20121106173352 ACCESSION NUMBER: 0001537512-12-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: Rule 506 FILED AS OF DATE: 20121107 DATE AS OF CHANGE: 20121106 EFFECTIVENESS DATE: 20121107 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: 021-186606 FILM NUMBER: 121184239 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 X0706 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 2012-10-29 false true false 0 1000000 50000 950000 false 1 0 0 0 true false Magnolia Medical Technologies, Inc. /s/ Gregory J. Bullington Gregory J. Bullington President and CEO 2012-11-05