0001181431-13-021726.txt : 20130410 0001181431-13-021726.hdr.sgml : 20130410 20130410143301 ACCESSION NUMBER: 0001181431-13-021726 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: Rule 506 FILED AS OF DATE: 20130410 DATE AS OF CHANGE: 20130410 EFFECTIVENESS DATE: 20130410 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Watermark Medical Holdings, Inc. CENTRAL INDEX KEY: 0001573917 IRS NUMBER: 371719099 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-194781 FILM NUMBER: 13753439 BUSINESS ADDRESS: STREET 1: 1641 WORTHINGTON ROAD STREET 2: SUITE 320 CITY: WEST PALM BEACH STATE: FL ZIP: 33409 BUSINESS PHONE: (877) 710-6999 MAIL ADDRESS: STREET 1: 1641 WORTHINGTON ROAD STREET 2: SUITE 320 CITY: WEST PALM BEACH STATE: FL ZIP: 33409 D 1 primary_doc.xml X0706 D LIVE 0001573917 Watermark Medical Holdings, Inc. 1641 Worthington Road Suite 320 West Palm Beach FL FLORIDA 33409 (877) 710-6999 DELAWARE None None Corporation true 2013 Sean Heyniger 1641 Worthington Road Suite 320 West Palm Beach FL FLORIDA 33409 Executive Officer Director Jack Fiedor 1641 Worthington Road Suite 320 West Palm Beach FL FLORIDA 33409 Executive Officer David N. Hruda 1641 Worthington Road Suite 320 West Palm Beach FL FLORIDA 33409 Executive Officer Charles Alvarez 1641 Worthington Road Suite 320 West Palm Beach FL FLORIDA 33409 Executive Officer Jim Hodge 1641 Worthington Road Suite 320 West Palm Beach FL FLORIDA 33409 Director Jacob Lamm 1641 Worthington Road Suite 320 West Palm Beach FL FLORIDA 33409 Director Drew Graham 1641 Worthington Road Suite 320 West Palm Beach FL FLORIDA 33409 Director John Sculley 1641 Worthington Road Suite 320 West Palm Beach FL FLORIDA 33409 Director Peter Callahan 1641 Worthington Road Suite 320 West Palm Beach FL FLORIDA 33409 Director Dr. Richard Bogan 1641 Worthington Road Suite 320 West Palm Beach FL FLORIDA 33409 Executive Officer Director Other Health Care Not Applicable 06 false 2013-03-27 false true true In connection with a merger involving the Issuer, certain stockholders of the target corporation received equity of the Issuer in exchange for their shares of the target corporation. 0 7354020 7354020 0 false 14 0 0 0 true Watermark Medical Holdings, Inc. /s/ David N. Hruda David N. Hruda Chief Compliance Officer & General Counsel 2013-04-09