0001592473-15-000004.txt : 20151105
0001592473-15-000004.hdr.sgml : 20151105
20151105132112
ACCESSION NUMBER: 0001592473-15-000004
CONFORMED SUBMISSION TYPE: D
PUBLIC DOCUMENT COUNT: 1
ITEM INFORMATION: 06b
FILED AS OF DATE: 20151105
DATE AS OF CHANGE: 20151105
EFFECTIVENESS DATE: 20151105
FILER:
COMPANY DATA:
COMPANY CONFORMED NAME: Brookhaven Medical, Inc.
CENTRAL INDEX KEY: 0001592473
IRS NUMBER: 900959093
STATE OF INCORPORATION: DE
FILING VALUES:
FORM TYPE: D
SEC ACT: 1933 Act
SEC FILE NUMBER: 021-250743
FILM NUMBER: 151199785
BUSINESS ADDRESS:
STREET 1: 3050 PEACHTREE ROAD, NW
CITY: ATLANTA
STATE: GA
ZIP: 30305
BUSINESS PHONE: 404-205-8282
MAIL ADDRESS:
STREET 1: 3050 PEACHTREE ROAD, NW
CITY: ATLANTA
STATE: GA
ZIP: 30305
FORMER COMPANY:
FORMER CONFORMED NAME: Brookhaven Medical,Inc
DATE OF NAME CHANGE: 20131120
D
1
primary_doc.xml
X0707
D
LIVE
0001592473
Brookhaven Medical, Inc.
3050 PEACHTREE ROAD, NW
Suite 370
ATLANTA
GA
GEORGIA
30305
404-205-8282
DELAWARE
Brookhaven Medical,Inc
Corporation
true
2013
John
D.
Feltman
3050 Peachtree Road, NW
Suite 370
Atlanta
GA
GEORGIA
30305
Executive Officer
Director
Stephen
Warner
3050 Peachtree Road, NW
Suite 370
Atlanta
GA
GEORGIA
30305
Director
James
S.
Johnson
3050 Peachtree Road, NW
Suite 370
Atlanta
GA
GEORGIA
30305
Director
Allen
B.
Boswell
3050 Peachtree Road, NW
Suite 370
Atlanta
GA
GEORGIA
30305
Director
John
Ramey
3050 Peachtree Road, NW
Suite 370
Atlanta
GA
GEORGIA
30305
Director
Robert
E.
Altenbach
3050 Peachtree Road, NW
Suite 370
Atlanta
GA
GEORGIA
30305
Executive Officer
S.
Ross
DeDeyn
3050 Peachtree Road, NW
Suite 370
Atlanta
GA
GEORGIA
30305
Executive Officer
Other Health Care
No Revenues
- 06b
false
true
false
true
false
0
11250000
0
11250000
false
0
900000
true
0
The Issuer may engage broker-dealers to offer and sell the securities, who may be paid commissions up to 8% of the total offering amount.
0
false
Brookhaven Medical, Inc.
/s/ John D. Feltman
John D. Feltman
Chairman and Chief Executive Officer
2015-11-03