0001557120-12-000001.txt : 20120830 0001557120-12-000001.hdr.sgml : 20120830 20120830144340 ACCESSION NUMBER: 0001557120-12-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: Rule 506 FILED AS OF DATE: 20120830 DATE AS OF CHANGE: 20120830 EFFECTIVENESS DATE: 20120830 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Intact Vascular, Inc. CENTRAL INDEX KEY: 0001557120 IRS NUMBER: 460781968 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-183465 FILM NUMBER: 121065474 BUSINESS ADDRESS: STREET 1: 150 STRAFFORD AVENUE, #303 CITY: WAYNE STATE: PA ZIP: 19087 BUSINESS PHONE: 484-253-1048 MAIL ADDRESS: STREET 1: 150 STRAFFORD AVENUE, #303 CITY: WAYNE STATE: PA ZIP: 19087 D 1 primary_doc.xml X0706 D LIVE 0001557120 Intact Vascular, Inc. 150 STRAFFORD AVENUE, #303 WAYNE PA PENNSYLVANIA 19087 484-253-1048 DELAWARE None None Corporation true 2012 Carol A. Burns 150 Strafford Avenue, #303 Wayne PA PENNSYLVANIA 19087 Executive Officer Director Peter Schneider 150 Strafford Avenue, #303 Wayne PA PENNSYLVANIA 19087 Director Katherine D. Crothall 150 Strafford Avenue, #303 Wayne PA PENNSYLVANIA 19087 Director Aaron Davidson 150 Strafford Avenue, #303 Wayne PA PENNSYLVANIA 19087 Director Robert Giasolli 150 Strafford Avenue, #303 Wayne PA PENNSYLVANIA 19087 Executive Officer Wesley H. Kaupinen 150 Strafford Avenue, #303 Wayne PA PENNSYLVANIA 19087 Director Dennis Wahr 150 Strafford Avenue, #303 Wayne PA PENNSYLVANIA 19087 Director Scott Kruas 150 Strafford Avenue, #303 Wayne PA PENNSYLVANIA 19087 Executive Officer Biotechnology Decline to Disclose 06 false 2012-08-22 false true false 0 18833218 11233203 7600015 Includes cash proceeds and proceeds of indebtedness of the Issuer converted in the offering false 42 0 0 0 false Intact Vascular, Inc. Carol A. Burns Carol A. Burns President and Chief Executive Officer 2012-08-30