0001557120-17-000002.txt : 20170117 0001557120-17-000002.hdr.sgml : 20170117 20170117120445 ACCESSION NUMBER: 0001557120-17-000002 CONFORMED SUBMISSION TYPE: D/A PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20170117 DATE AS OF CHANGE: 20170117 EFFECTIVENESS DATE: 20170117 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/A SEC ACT: 1933 Act SEC FILE NUMBER: 021-240191 FILM NUMBER: 17529823 BUSINESS ADDRESS: STREET 1: 1285 DRUMMERS LANE, SUITE 200 CITY: WAYNE STATE: PA ZIP: 19087 BUSINESS PHONE: 484-253-1048 MAIL ADDRESS: STREET 1: 1285 DRUMMERS LANE, SUITE 200 CITY: WAYNE STATE: PA ZIP: 19087 D/A 1 primary_doc.xml X0707 D/A LIVE 0001557120 Intact Vascular, Inc. 1285 DRUMMERS LANE, SUITE 200 WAYNE PA PENNSYLVANIA 19087 484-253-1048 DELAWARE None None Corporation true 2012 Bruce J. Shook 1285 Drummers Lane, Suite 200 Wayne PA PENNSYLVANIA 19087 Executive Officer Director Peter Schneider 1285 Drummers Lane, Suite 200 Wayne PA PENNSYLVANIA 19087 Executive Officer Director Justin Klein 1285 Drummers Lane, Suite 200 Wayne PA PENNSYLVANIA 19087 Director Aaron Davidson 1285 Drummers Lane, Suite 200 Wayne PA PENNSYLVANIA 19087 Director P. Sherrill Neff 1285 Drummers Lane, Suit 200 Wayne PA PENNSYLVANIA 19087 Director Dennis Wahr 1285 Drummers Lane, Suit 200 Wayne PA PENNSYLVANIA 19087 Director Douglas G. Evans 1285 Drummers Lane, Suite 200 Wayne PA PENNSYLVANIA 19087 Director Monica Klos 1285 Drummers Lane, Suite 200 Wayne PA PENNSYLVANIA 19087 Executive Officer Michael Longo 1285 Drummers Lane, Suite 200 Wayne PA PENNSYLVANIA 19087 Executive Officer Joseph C. Griffin, III 1285 Drummers Lane, Suite 200 Wayne PA PENNSYLVANIA 19087 Executive Officer Marc Penna 1285 Drummers Lane, Suite 200 Wayne PA PENNSYLVANIA 19087 Executive Officer Other Health Care Decline to Disclose 06b true 0001557120-15-000002 2015-05-14 true true true false 0 39337854 39337854 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 4900000 true false Intact Vascular, Inc. Bruce J. Shook Bruce J. Shook President and Chief Executive Officer 2017-01-17