0000950138-13-000565.txt : 20131226 0000950138-13-000565.hdr.sgml : 20131225 20131226090719 ACCESSION NUMBER: 0000950138-13-000565 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20131226 DATE AS OF CHANGE: 20131226 EFFECTIVENESS DATE: 20131226 FILER: COMPANY DATA: COMPANY CONFORMED NAME: SynerZ Medical, Inc. CENTRAL INDEX KEY: 0001594502 IRS NUMBER: 900993991 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-208741 FILM NUMBER: 131297924 BUSINESS ADDRESS: STREET 1: 10411 CLAYTON ROAD STREET 2: SUITE 302 CITY: ST. LOUIS STATE: MO ZIP: 63131 BUSINESS PHONE: 314-569-2525 MAIL ADDRESS: STREET 1: 10411 CLAYTON ROAD STREET 2: SUITE 302 CITY: ST. LOUIS STATE: MO ZIP: 63131 D 1 primary_doc.xml X0707 D LIVE 0001594502 SynerZ Medical, Inc. 10411 CLAYTON ROAD SUITE 302 ST. LOUIS MO MISSOURI 63131 314-569-2525 DELAWARE None None Corporation true 2013 Bevil J Hogg 10411 Claayton Road, Suite 302 Clayton MO MISSOURI 63131 Director Virender K Sharma 10411 Clayton Road, Suite 302 Clayton MO MISSOURI 63131 Director Raul E Perez 10411 Clayton Road, Suite 302 Clayton MO MISSOURI 63131 Director James R Bachman 10411 Clayton Road, Suite 302 Clayton MO MISSOURI 63131 Executive Officer Other Health Care Decline to Disclose 06b false 2013-12-11 false true false 5000 1210000 1085000 125000 false 22 0 0 0 false SynerZ Medical, Inc. /s/ James R. Bachman James R. Bachman President and Chief Operating Officer 2013-12-23