0001560859-15-000001.txt : 20150129 0001560859-15-000001.hdr.sgml : 20150129 20150128174640 ACCESSION NUMBER: 0001560859-15-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20150129 DATE AS OF CHANGE: 20150128 EFFECTIVENESS DATE: 20150129 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Medina Medical, Inc. CENTRAL INDEX KEY: 0001560859 IRS NUMBER: 452438874 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-233056 FILM NUMBER: 15556022 BUSINESS ADDRESS: STREET 1: 937 HAMILTON AVENUE CITY: MENLO PARK STATE: CA ZIP: 94025 BUSINESS PHONE: (650) 396-7756 MAIL ADDRESS: STREET 1: 937 HAMILTON AVENUE CITY: MENLO PARK STATE: CA ZIP: 94025 D 1 primary_doc.xml X0707 D LIVE 0001560859 Medina Medical, Inc. 937 HAMILTON AVENUE MENLO PARK CA CALIFORNIA 94025 (650) 396-7756 DELAWARE None None Corporation true 2011 Erik Engelson c/o Medina Medical, Inc. 937 Hamilton Avenue Menlo Park CA CALIFORNIA 94025 Executive Officer Director Maria Aboytes c/o Medina Medical, Inc. 937 Hamilton Avenue Menlo Park CA CALIFORNIA 94025 Executive Officer Director Bakir Begovic c/o Medina Medical, Inc. 937 Hamilton Avenue Menlo Park CA CALIFORNIA 94025 Director Annette Franqui c/o Medina Medical, Inc. 937 Hamilton Avenue Menlo Park CA CALIFORNIA 94025 Director Kimberly Vogel c/o Medina Medical, Inc. 937 Hamilton Avenue Menlo Park CA CALIFORNIA 94025 Director Other Health Care Decline to Disclose 06b false 2015-01-23 false true false 1 6000000 4431954 1568046 false 5 0 0 0 false Medina Medical, Inc. /s/ Erik Engelson Erik Engelson Chief Executive Officer 2015-01-28