0001601696-14-000001.txt : 20140305 0001601696-14-000001.hdr.sgml : 20140305 20140305120901 ACCESSION NUMBER: 0001601696-14-000001 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20140305 DATE AS OF CHANGE: 20140305 EFFECTIVENESS DATE: 20140305 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Domain Surgical Holdings, Inc. CENTRAL INDEX KEY: 0001601696 IRS NUMBER: 494915466 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-212936 FILM NUMBER: 14668040 BUSINESS ADDRESS: STREET 1: 1370 SOUTH 2100 EAST CITY: SALT LAKE CITY STATE: UT ZIP: 84108 BUSINESS PHONE: 801-924-4956 MAIL ADDRESS: STREET 1: 1370 SOUTH 2100 EAST CITY: SALT LAKE CITY STATE: UT ZIP: 84108 D 1 primary_doc.xml X0707 D LIVE 0001601696 Domain Surgical Holdings, Inc. 1370 SOUTH 2100 EAST SALT LAKE CITY UT UTAH 84108 801-924-4956 DELAWARE None None Corporation true 2014 David McNally 1370 South 2100 East Salt Lake City UT UTAH 84108 Executive Officer Director Phillip McStotts 1370 South 2100 East Salt Lake City UT UTAH 84108 Executive Officer Director Other Decline to Disclose 06b false 2014-02-28 false true false 0 11590811 0 11590811 Includes cash consideration received and value of debt converted to equity in the offering. false 10 0 0 0 false Domain Surgical Holdings, Inc. Phillip McStotts Phillip McStotts CFO, Secretary 2014-03-05