0001564031-14-000002.txt : 20141208 0001564031-14-000002.hdr.sgml : 20141208 20141208125755 ACCESSION NUMBER: 0001564031-14-000002 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20141208 DATE AS OF CHANGE: 20141208 EFFECTIVENESS DATE: 20141208 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 SEC ACT: 1933 Act SEC FILE NUMBER: 021-229642 FILM NUMBER: 141271803 BUSINESS ADDRESS: STREET 1: 1163 SHREWSBURY AVENUE CITY: SHREWSBURY STATE: NJ ZIP: 07702 BUSINESS PHONE: 7325425551 MAIL ADDRESS: STREET 1: 1163 SHREWSBURY AVENUE CITY: SHREWSBURY STATE: NJ ZIP: 07702 D 1 primary_doc.xml X0707 D LIVE 0001564031 Angel Medical Systems Inc 1163 SHREWSBURY AVENUE SHREWSBURY 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 false 2014-11-25 true true false 0 20500000 10215000 10285000 (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 22 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 2014-12-05