0001557120-19-000001.txt : 20190604 0001557120-19-000001.hdr.sgml : 20190604 20190604134621 ACCESSION NUMBER: 0001557120-19-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20190604 DATE AS OF CHANGE: 20190604 EFFECTIVENESS DATE: 20190604 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: 021-341088 FILM NUMBER: 19876006 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 P. Sherrill Neff 1285 Drummers Lane, Suite 200 Wayne PA PENNSYLVANIA 19087 Director Dennis W. Wahr 1285 Drummers Lane, Suite 200 Wayne PA PENNSYLVANIA 19087 Director Monica Klos 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 Michael Longo 1285 Drummers Lane, Suite 200 Wayne PA PENNSYLVANIA 19087 Executive Officer Howard Rosen 1285 Drummers Lane, Suite 200 Wayne PA PENNSYLVANIA 19087 Executive Officer Marc Penna 1285 Drummers Lane, Suite 200 Wayne PA PENNSYLVANIA 19087 Executive Officer Stephen G. MacKinnon 1285 Drummers Lane, Suite 200 Wayne PA PENNSYLVANIA 19087 Executive Officer Bruce Robertson 1285 Drummers Lane, Suite 200 Wayne PA PENNSYLVANIA 19087 Director Douglas G. Evans 1285 Drummers Lane, Suite 200 Wayne PA PENNSYLVANIA 19087 Director Josh Makower 1285 Drummers Lane, Suite 200 Wayne PA PENNSYLVANIA 19087 Director Peter Schneider 1285 Drummers Lane, Suite 200 Wayne PA PENNSYLVANIA 19087 Director Other Health Care Decline to Disclose 06b false 2019-05-24 false true true true false 0 24999998 4999999 19999999 false 1 0 0 5100000 true false Intact Vascular, Inc. Bruce J. Shook Bruce J. Shook President, CEO 2019-06-04