0001181431-15-005701.txt : 20150409 0001181431-15-005701.hdr.sgml : 20150409 20150409141010 ACCESSION NUMBER: 0001181431-15-005701 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20150409 DATE AS OF CHANGE: 20150409 EFFECTIVENESS DATE: 20150409 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: 021-237625 FILM NUMBER: 15761145 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 X0707 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 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 Dr. Richard Bogan 1641 Worthington Road Suite 320 West Palm Beach FL FLORIDA 33409 Executive Officer Director Don Burton 1641 Worthington Road Suite 320 West Palm Beach FL FLORIDA 33409 Director Rick Sontag 1641 Worthington Road Suite 320 West Palm Beach FL FLORIDA 33409 Director David Lewis 1641 Worthington Road Suite 320 West Palm Beach FL FLORIDA 33409 Executive Officer Roger Anderson 1641 Worthington Road Suite 320 West Palm Beach FL FLORIDA 33409 Executive Officer Carl Iberger 1641 Worthington Road Suite 320 West Palm Beach FL FLORIDA 33409 Executive Officer Greg Poulos 1641 Worthington Road Suite 320 West Palm Beach FL FLORIDA 33409 Executive Officer Other Health Care Decline to Disclose 06b false 2015-03-27 false true false 25000 6000000 5000000 1000000 false 14 0 0 0 true Watermark Medical Holdings, Inc. /s/ Jack Fiedor Jack Fiedor Chief Financial Officer 2015-04-09