0001461373-13-000051.txt : 20131219
0001461373-13-000051.hdr.sgml : 20131219
20131219144251
ACCESSION NUMBER: 0001461373-13-000051
CONFORMED SUBMISSION TYPE: D
PUBLIC DOCUMENT COUNT: 1
ITEM INFORMATION: 06b
FILED AS OF DATE: 20131219
DATE AS OF CHANGE: 20131219
EFFECTIVENESS DATE: 20131219
FILER:
COMPANY DATA:
COMPANY CONFORMED NAME: Infusion Medical, Inc.
CENTRAL INDEX KEY: 0001594776
IRS NUMBER: 464169320
STATE OF INCORPORATION: DE
FISCAL YEAR END: 1231
FILING VALUES:
FORM TYPE: D
SEC ACT: 1933 Act
SEC FILE NUMBER: 021-208342
FILM NUMBER: 131288099
BUSINESS ADDRESS:
STREET 1: 3917 SUNSET RIDGE ROAD
CITY: RALEIGH
STATE: NC
ZIP: 27607
BUSINESS PHONE: 919-783-9686
MAIL ADDRESS:
STREET 1: 3917 SUNSET RIDGE ROAD
CITY: RALEIGH
STATE: NC
ZIP: 27607
D
1
primary_doc.xml
X0707
D
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0001594776
Infusion Medical, Inc.
3917 SUNSET RIDGE ROAD
RALEIGH
NC
NORTH CAROLINA
27607
919-783-9686
DELAWARE
Infusion Medical, LLC
None
Corporation
true
2013
Daniel
Keith
Davidian
3917 Sunset Ridge Road
Raleigh
NC
NORTH CAROLINA
27607
Executive Officer
Director
Scott
G.
Newnam
3917 Sunset Ridge Road
Raleigh
NC
NORTH CAROLINA
27607
Executive Officer
Director
Other Health Care
Decline to Disclose
- 06b
false
2013-12-16
false
true
false
30000
1500000
1180000
320000
false
12
0
0
0
false
Infusion Medical, Inc.
/s/ Daniel Keith Davidian
Daniel Keith Davidian
President
2013-12-19