0001603720-16-000002.txt : 20160323 0001603720-16-000002.hdr.sgml : 20160323 20160322192338 ACCESSION NUMBER: 0001603720-16-000002 CONFORMED SUBMISSION TYPE: D PUBLIC DOCUMENT COUNT: 1 ITEM INFORMATION: 06b FILED AS OF DATE: 20160323 DATE AS OF CHANGE: 20160322 EFFECTIVENESS DATE: 20160323 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Fortus Medical, Inc. CENTRAL INDEX KEY: 0001603720 IRS NUMBER: 320362957 STATE OF INCORPORATION: DE FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: D SEC ACT: 1933 Act SEC FILE NUMBER: 021-259789 FILM NUMBER: 161522132 BUSINESS ADDRESS: STREET 1: 700 10TH AVENUE SOUTH, SUITE 119 CITY: MINNEAPOLIS STATE: MN ZIP: 55415 BUSINESS PHONE: 949-422-4240 MAIL ADDRESS: STREET 1: 700 10TH AVENUE SOUTH, SUITE 119 CITY: MINNEAPOLIS STATE: MN ZIP: 55415 D 1 primary_doc.xml X0707 D LIVE 0001603720 Fortus Medical, Inc. 700 10TH AVENUE SOUTH, SUITE 119 MINNEAPOLIS MN MINNESOTA 55415 949-422-4240 DELAWARE Intersect7, Inc. None Corporation true 2011 Robert Assell 700 10th Avenue South, Suite 119 Minneapolis MN MINNESOTA 55415 Executive Officer Director George Wallace 700 10th Avenue South, Suite 119 Minneapolis MN MINNESOTA 55415 Executive Officer Director Andrew Cragg 700 10th Avenue South, Suite 119 Minneapolis MN MINNESOTA 55415 Director Bruce Feuchter 660 NEWPORT CENTER DR., STE1600 NEWPORT BEACH CA CALIFORNIA 92660 Executive Officer Other Technology Decline to Disclose 06b false 2016-03-09 false true false 0 1000000 500000 500000 Promissory Note false 1 0 0 0 false Fortus Medical, Inc. /s/: Bruce Feuchter Bruce Feuchter Secretary 2016-03-22