0001564031-13-000002.txt : 20131216 0001564031-13-000002.hdr.sgml : 20131216 20131216133946 ACCESSION NUMBER: 0001564031-13-000002 CONFORMED SUBMISSION TYPE: D/A PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20131216 DATE AS OF CHANGE: 20131216 EFFECTIVENESS DATE: 20131216 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Angel Medical Systems Inc CENTRAL INDEX KEY: 0001564031 IRS NUMBER: 522360129 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D/A SEC ACT: 1933 Act SEC FILE NUMBER: 021-188326 FILM NUMBER: 131278528 BUSINESS ADDRESS: STREET 1: 1163 SHREWSBURY AVENUE CITY: SHREWBURY STATE: NJ ZIP: 07702 BUSINESS PHONE: 7325425551 MAIL ADDRESS: STREET 1: 1163 SHREWSBURY AVENUE CITY: SHREWBURY STATE: NJ ZIP: 07702 D/A 1 primary_doc.xml X0707 D/A LIVE 0001564031 Angel Medical Systems Inc 1163 SHREWSBURY AVENUE SHREWBURY NJ NEW JERSEY 07702 7325425551 DELAWARE None None Corporation true David R. Fischell 1163 Shrewsbury Avenue Shrewsbury Business Center Shrewsbury NJ NEW JERSEY 07702 Executive Officer Director Robert E. Fischell 1163 Shrewsbury Avenue Shrewsbury Business Center Shrewsbury NJ NEW JERSEY 07702 Director Steven R. Johnson 1163 Shrewsbury Avenue Shrewsbury Business Center Shrewsbury NJ NEW JERSEY 07702 Executive Officer Dave Keenan 1163 Shrewsbury Avenue Shrewsbury Business Center Shrewsbury NJ NEW JERSEY 07702 Executive Officer Andrew Taylor 1163 Shrewsbury Avenue Shrewsbury Business Center Shrewsbury NJ NEW JERSEY 07702 Executive Officer Eric Fain 1163 Shrewsbury Avenue Shrewsbury Business Center Shrewsbury NJ NEW JERSEY 07702 Director Frank M. Fischer 1163 Shrewsbury Avenue Shrewsbury Business Center Shrewsbury NJ NEW JERSEY 07702 Director Robert J. Flanagan 1163 Shrewsbury Avenue Shrewsbury Business Center Shrewsbury NJ NEW JERSEY 07702 Director Kadir Kadhiresan 1163 Shrewsbury Avenue Shrewsbury Business Center Shrewsbury NJ NEW JERSEY 07702 Director Benjamin Pless 1163 Shrewsbury Avenue Shrewsbury Business Center Shrewsbury NJ NEW JERSEY 07702 Director Victor Whitman 1163 Shrewsbury Avenue Shrewsbury Business Center Shrewsbury NJ NEW JERSEY 07702 Director Other Health Care Decline to Disclose 06b true 0001564031-13-000001 2012-12-05 false true true true false 0 20546000 20531000 15000 (i) Secured Convertible Promissory Notes; (ii) Preferred Stock issuable upon conversion of such notes; (iii) Common Stock issuable upon conversion of such Preferred Stock false 23 0 0 0 true Proceeds will be used for, among other things, general corporate purposes including, but not limited to, executive salaries false Angel Medical Systems Inc /s/Mark Weeks Mark Weeks Assistant Secretary 2013-12-16