0001557686-12-000001.txt : 20120912 0001557686-12-000001.hdr.sgml : 20120912 20120911175747 ACCESSION NUMBER: 0001557686-12-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: Rule 506 FILED AS OF DATE: 20120912 DATE AS OF CHANGE: 20120911 EFFECTIVENESS DATE: 20120912 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Fresca Medical, Inc. CENTRAL INDEX KEY: 0001557686 IRS NUMBER: 383861203 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-183973 FILM NUMBER: 121086394 BUSINESS ADDRESS: STREET 1: 1120 CALLE CORDILLERA, SUITE 102 CITY: SAN CLEMENTE STATE: CA ZIP: 92673 BUSINESS PHONE: 1-949-273-5050 MAIL ADDRESS: STREET 1: 1120 CALLE CORDILLERA, SUITE 102 CITY: SAN CLEMENTE STATE: CA ZIP: 92673 D 1 primary_doc.xml X0706 D LIVE 0001557686 Fresca Medical, Inc. 1120 CALLE CORDILLERA, SUITE 102 SAN CLEMENTE CA CALIFORNIA 92673 1-949-273-5050 DELAWARE Intersect5, Inc. None Corporation true 2011 George Wallace 1120 Calle Cordillera, Suite 102 San Clemente CA CALIFORNIA 92673 Executive Officer Director Bruce Feuchter 660 Newport Center Dr Ste 1600 Newport Beach CA CALIFORNIA 92660 Executive Officer Other Technology Decline to Disclose 06 false 2012-08-30 false true false 0 2000000 1520452 479548 Series T false 22 0 0 0 false Fresca Medical, Inc. /s/: Bruce Feuchter Bruce Feuchter Secretary 2012-09-07