0001557120-15-000002.txt : 20150519 0001557120-15-000002.hdr.sgml : 20150519 20150519145353 ACCESSION NUMBER: 0001557120-15-000002 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20150519 DATE AS OF CHANGE: 20150519 EFFECTIVENESS DATE: 20150519 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: 021-240191 FILM NUMBER: 15876077 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 X0707 D LIVE 0001557120 Intact Vascular, Inc. 150 STRAFFORD AVENUE, #303 WAYNE PA PENNSYLVANIA 19087 484-253-1048 DELAWARE None None Corporation true 2012 Bruce J. Shook 150 Strafford Avenue, #303 Wayne PA PENNSYLVANIA 19087 Executive Officer Director Peter Schneider 150 Strafford Avenue, #303 Wayne PA PENNSYLVANIA 19087 Executive Officer Director Justin Klein 150 Strafford Avenue, #303 Wayne PA PENNSYLVANIA 19087 Director Aaron Davidson 150 Strafford Avenue, #303 Wayne PA PENNSYLVANIA 19087 Director P. Sherrill Neff 150 Strafford Avenue, #303 Wayne PA PENNSYLVANIA 19087 Director Dennis Wahr 150 Strafford Avenue, #303 Wayne PA PENNSYLVANIA 19087 Director Douglas G. Evans 150 Strafford Avenue, #303 Wayne PA PENNSYLVANIA 19087 Executive Officer Director Monica Klos 150 Strafford Avenue, #303 Wayne PA PENNSYLVANIA 19087 Executive Officer Bryan A. Claseman 150 Strafford Avenue, #303 Wayne PA PENNSYLVANIA 19087 Executive Officer Joseph C. Griffin, III 150 Strafford Avenue, #303 Wayne PA PENNSYLVANIA 19087 Executive Officer Marc Penna 150 Strafford Avenue, #303 Wayne PA PENNSYLVANIA 19087 Executive Officer Other Health Care Decline to Disclose 06b false 2015-05-14 false true true false 0 32339203 32339203 0 The amount does not include approximately $6.5 million in proceeds previously received by the company from the issuance and sale of convertible promissory notes that were converted into securities in connection with this offering. false 8 0 0 3530000 true false Intact Vascular, Inc. Bruce J. Shook Bruce J. Shook President and Chief Executive Officer 2015-05-19