0001592473-16-000006.txt : 20160708 0001592473-16-000006.hdr.sgml : 20160708 20160708163107 ACCESSION NUMBER: 0001592473-16-000006 CONFORMED SUBMISSION TYPE: D/A PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20160708 DATE AS OF CHANGE: 20160708 EFFECTIVENESS DATE: 20160708 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/A SEC ACT: 1933 Act SEC FILE NUMBER: 021-250743 FILM NUMBER: 161759724 BUSINESS ADDRESS: STREET 1: 3424 PEACHTREE ROAD, NW STREET 2: SUITE 1150 CITY: ATLANTA STATE: GA ZIP: 30326 BUSINESS PHONE: 404-205-8282 MAIL ADDRESS: STREET 1: 3424 PEACHTREE ROAD, NW STREET 2: SUITE 1150 CITY: ATLANTA STATE: GA ZIP: 30326 FORMER COMPANY: FORMER CONFORMED NAME: Brookhaven Medical,Inc DATE OF NAME CHANGE: 20131120 D/A 1 primary_doc.xml X0707 D/A LIVE 0001592473 Brookhaven Medical, Inc. 3424 PEACHTREE ROAD, NW SUITE 1150 ATLANTA GA GEORGIA 30326 404-205-8282 DELAWARE Brookhaven Medical,Inc Corporation true 2013 John D. Feltman 3424 Peachtree Road, NW Suite 1150 Atlanta GA GEORGIA 30326 Executive Officer Director Stephen Warner 3424 Peachtree Road, NW Suite 1150 Atlanta GA GEORGIA 30326 Director James S. Johnson 3424 Peachtree Road, NW Suite 1150 Atlanta GA GEORGIA 30326 Director Allen B. Boswell 3424 Peachtree Road, NW Suite 1150 Atlanta GA GEORGIA 30326 Director John Ramey 3424 Peachtree Road, NW Suite 1150 Atlanta GA GEORGIA 30326 Director Robert E. Altenbach 3424 Peachtree Road, NW Suite 1150 Atlanta GA GEORGIA 30326 Executive Officer Marc Morin 3424 Peachtree Road, NW Suite 1150 Atlanta GA GEORGIA 30326 Executive Officer Other Health Care $25,000,001 - $100,000,000 06b true 0001592473-15-000004 true false true false 0 9000000 0 9000000 false 0 720000 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 2016-07-08