0001557686-17-000001.txt : 20170424 0001557686-17-000001.hdr.sgml : 20170424 20170421175856 ACCESSION NUMBER: 0001557686-17-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20170424 DATE AS OF CHANGE: 20170421 EFFECTIVENESS DATE: 20170424 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: 021-285343 FILM NUMBER: 17776877 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 X0707 D LIVE 0001557686 Fresca Medical, Inc. 1291 Puerta Del Sol, Ste 200 San Clemente CA CALIFORNIA 92673 1-949-273-5050 DELAWARE Intersect5, Inc. None Corporation true John Cox C/O Fresca Medical, Inc. 1291 Puerta Del Sol, Ste 200 San Clemente CA CALIFORNIA 92673 Executive Officer To Ki Cheung C/O Fresca Medical, Inc. 1291 Puerta Del Sol, Ste 200 San Clemente CA CALIFORNIA 92673 Director Matthew Weil C/O Fresca Medical, Inc. 1291 Puerta Del Sol, Ste 200 San Clemente CA CALIFORNIA 92673 Director Bruce Feuchter 660 Newport Center Dr, Ste 1600 Newport Beach CA CALIFORNIA 92660 Executive Officer Other Technology Decline to Disclose 06b false 2017-04-12 false true false 0 6000000 1804361 4195639 Series C Preferred Stock false 5 0 0 0 false Fresca Medical, Inc. /s/: Bruce Feuchter Bruce Feuchter Secretary 2017-04-20