0001564514-15-000002.txt : 20150303 0001564514-15-000002.hdr.sgml : 20150303 20150303103810 ACCESSION NUMBER: 0001564514-15-000002 CONFORMED SUBMISSION TYPE: D/A PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20150303 DATE AS OF CHANGE: 20150303 EFFECTIVENESS DATE: 20150303 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Restore Medical Solutions, Inc. CENTRAL INDEX KEY: 0001564514 IRS NUMBER: 455283667 STATE OF INCORPORATION: TN FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D/A SEC ACT: 1933 Act SEC FILE NUMBER: 021-188555 FILM NUMBER: 15667481 BUSINESS ADDRESS: STREET 1: 20 S. DUDLEY ST. CITY: MEMPHIS STATE: TN ZIP: 38103 BUSINESS PHONE: 678-381-6532 MAIL ADDRESS: STREET 1: 20 S. DUDLEY ST. CITY: MEMPHIS STATE: TN ZIP: 38103 D/A 1 primary_doc.xml X0707 D/A LIVE 0001564514 Restore Medical Solutions, Inc. 100 Peabody Place Suite 150 MEMPHIS TN TENNESSEE 38103 678-381-6532 TENNESSEE None None Corporation true 2012 Steven M. King 100 Peabody Place Suite 150 Memphis TN TENNESSEE 38103 Executive Officer Director President and Chief Executive Officer Shawn Flynn 100 Peabody Place Suite 150 Memphis TN TENNESSEE 38103 Executive Officer Director Secretary Jan Bouten 20 S. Dudley St. Memphis TN TENNESSEE 38103 Director Gary Stevenson 17 West Pontotoc Suite 200 Memphis TN TENNESSEE 38103 Director Ryan Ramkhelawan 100 Peabody Place Suite 150 Memphis TN TENNESSEE 38103 Director Renee Frazier 100 Peabody Place Suite 150 Memphis TN TENNESSEE 38103 Director Other Health Care Decline to Disclose 06b true 0001564514-12-000001 2012-12-04 true true false 0 4780000 3347200 1432800 false 7 0 0 0 false Restore Medical Solutions, Inc. /s/ Steven M. King Steven M. King President and CEO 2015-03-03