0001557120-18-000001.txt : 20180413 0001557120-18-000001.hdr.sgml : 20180413 20180413135007 ACCESSION NUMBER: 0001557120-18-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20180413 DATE AS OF CHANGE: 20180413 EFFECTIVENESS DATE: 20180413 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: 021-310148 FILM NUMBER: 18753888 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 1 primary_doc.xml X0708 D LIVE 0001557120 Intact Vascular, Inc. 1285 DRUMMERS LANE, SUITE 200 WAYNE PA PENNSYLVANIA 19087 484-253-1048 DELAWARE None None Corporation true Bruce J. Shook 1285 Drummers Lane Suite 200 Wayne PA PENNSYLVANIA 19087 Executive Officer Director Howard Rosen 1285 Drummers Lane Suite 200 Wayne PA PENNSYLVANIA 19087 Executive Officer 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 Suite 200 Wayne PA PENNSYLVANIA 19087 Director Dennis Wahr 1285 Drummers Lane Suite 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 false 2018-04-05 false true true true false 0 21823433 10000000 11823433 false 3 0 0 2100000 false Intact Vascular, Inc. Bruce J. Shook Bruce J. Shook President, CEO 2018-04-11